Deborah Sue Blalock
Internal Medicine (Gastroenterology)

Address: 10914 Hefner Pointe Dr, Suite 304, Oklahoma City, OK 73120
Phone: 4056082772

Deborah Sue Blalock (NPI# 1477592186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1477592186
Entity Type Individual
Full Name Deborah Sue Blalock
Credential MD
Gender Female
Practice Address 10914 Hefner Pointe Dr
Suite 304
Oklahoma City
OK 73120
Practice Telephone 4056082772
Practice Fax Number 4056082324
Mailing Address 10914 Hefner Pointe Dr
Suite 304
Oklahoma City
OK 73120
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-06-06
Last Update Date 2015-10-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RG0100X Internal Medicine · Gastroenterology Allopathic & Osteopathic Physicians 17054 OK

Other Provider Identifier

State Identifier Issuer Type Code
OK 100130200A MEDICAID

Other Providers DEBORAH BLALOCK

NPI Name Taxonomy Address Enumeration
1467599357 Deborah Elizabeth Blalock Physical Therapist 6300 Irvington Blvd, Houston, TX 77022-5618 2007-01-31
1669526547 Deborah Shogry Blalock Counselor 2090 Executive Hall Rd Ste 170, Charleston, SC 29407-8710 2007-01-22

Physician Overview

NPI 1477592186
PAC ID by PECOS 8628081924
Professional Enrollment ID I20060802000326
Full Name Deborah S Blalock
Gender F
Credential MD
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1988
Primary Specialty GASTROENTEROLOGY
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370199 LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE
370037 ST ANTHONY HOSPITAL
370028 INTEGRIS BAPTIST MEDICAL CENTER, INC

Office Location

Street Address 10914 HEFNER POINTE DR
SUITE 304
City OKLAHOMA CITY
State OK
Zip Code 73120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588660898 Kenneth A. Hieke Surgery 10914 Hefner Pointe Dr, Ste 200, Oklahoma City, OK 73120-5069 2005-06-22
1861886350 Osu Center for Health Sciences Clinic/Center 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 2015-03-24
1831450279 Hiley N Hall Physical Therapist 10914 Hefner Pointe Dr, Suite 204, Oklahoma City, OK 73120-5066 2012-06-01
1396019337 Kristallena Scott Schwarz Family Medicine 10914 Hefner Pointe Dr, Suite 202, Oklahoma City, OK 73120-5066 2012-03-07
1659650125 Ashleigh Ahrberg Physician Assistant 10914 Hefner Pointe Dr, Oklahoma City, OK 73120-5066 2011-08-15
1992017776 Shannon Rene Maddox Dentist 10914 Hefner Pointe Dr, Suite 150, Oklahoma City, OK 73120-5066 2010-07-08
1801060413 Kellie J Hunt Physical Therapist 10914 Hefner Pointe Dr, Suite 204, Oklahoma City, OK 73120-5066 2008-04-15
1477724656 Rachel E Schwegal Physician Assistant 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 2008-03-17
1326226234 Us Pt Therapy Services Inc Durable Medical Equipment & Medical Supplies 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 2008-02-01
1104001916 U.S. Pt Therapy Services Inc. Physical Therapist 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 2007-12-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962992115 Erin Lyn Florer Occupational Therapist 12401 Trail Oak Dr, Oklahoma City, OK 73120 2018-05-14
1780171009 Diabetic Foot and Wound Center of Okfas Podiatrist 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 2018-04-23
1285134387 Motley Vision Professionals, Pllc Eyewear Supplier 9805 N. May Avenue, Oklahoma City, OK 73120 2018-02-15
1043729700 Jenna Marie Howard Social Worker 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 2017-09-26
1962928895 Susan Chacko Counselor 12000 N Virginia Avenue, Oklahoma City, OK 73120 2017-08-22
1881116200 Rebekah Danielle Kabariti Counselor 12000 N. Virgnia Ave, Oklahoma City, OK 73120 2017-07-07
1568999498 Tabitha Lynn Arias Dentist 11900 N Pennsylvania Ave Ste A1, Oklahoma City, OK 73120 2017-05-23
1861928905 The Laughing Shark, Inc. Counselor 11212 N May Ave Ste 107, Oklahoma City, OK 73120 2017-05-11
1013459239 Hefner Chiropractic Pllc Chiropractor 2236 W Hefner Rd, Suite 200, Oklahoma City, OK 73120 2016-11-07
1396296562 Maggie Green Social Worker 12605 Arrowhead Dr, Oklahoma City, OK 73120 2016-10-21
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568706554 Ahmad S Jazzar Internal Medicine 5617 Normandy Ter, Oklahoma City, OK 73142-1823 2012-11-15
1730444886 Molly Beth Lindquist Disbrow Internal Medicine 920 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5036 2012-07-05
1528199866 Verapan Vongthavaravat Internal Medicine 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142-1874 2007-03-08
1992852875 Shih-kuang Hong Internal Medicine 3110 Sw 89th St Ste 104, Oklahoma City, OK 73159-7920 2007-01-04
1154415347 Ravinder R Kurella Internal Medicine 8100 S Walker Ave Ste 230, Oklahoma City, OK 73139-9405 2006-10-03
1083709430 Imad A Zantout Internal Medicine 4200 W.memorial Road, Suite 305, Oklahoma City, OK 73120 2006-10-03
1649245929 Jeff D Scott Internal Medicine 5015 N Pennsylvania Ave, Suite 303, Oklahoma City, OK 73112-8891 2006-02-21
1285606491 Sophia Janjua Khan Internal Medicine 4205 Mcauley Blvd Ste 375, Oklahoma City, OK 73120 2006-02-02
1639153554 Ross Stanford Keener Internal Medicine 4201 S Western Ave, Oklahoma City, OK 73109-3410 2005-12-05
1902880719 Michael David Winters Internal Medicine 5701 N Portland Ave Ste 205, Oklahoma City, OK 73112-1670 2005-12-05
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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