NPIMap

Organization Active NPI

George J Blake MD PC

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1942411087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18245 Issued in OK
Legal business name
GEORGE J BLAKE MD PC
Practice address
5153 E 51St St
Suite 100
Tulsa, OK 74135-7456
Phone
(918) 828-0230
Fax
(918) 828-0231
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Jacob Blake, MDNPI 1417036641
Title
Physician-Owner
Phone
(918) 828-0230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 18245 OK Primary

Addresses

Primary practice location

5153 E 51St St
Suite 100
Tulsa, OK 74135-7456

Mailing address

5153 E 51St St
Suite 100
Tulsa, OK 74135-7456
Phone (918) 828-0230

National Provider Directory

National Provider Directory

Locations

5153 E 51st St
Ste 100
Tulsa, OK 74135
Phone (918) 828-0230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942411087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 E 51ST ST",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357456",
            "telephone_number": "918-828-0230",
            "fax_number": "918-828-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 E 51ST ST",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357456",
            "telephone_number": "918-828-0230",
            "fax_number": "918-828-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE J BLAKE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "918-828-0230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "18245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.