MEDWISE LLC – NPI #1538981204
Clinic/Center

MEDWISE LLC is an AHC clinic located in TULSA, OK. NPPES has assigned the NPI number 1538981204 to MEDWISE LLC on October 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was last updated on Mar 19, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDWISE LLC below.

NPI Profile for
MEDWISE LLC

NPI Number
1538981204
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDWISE LLC
Primary location
6336 E ADMIRAL PL
TULSA, OK 74115
Phone: (918) 727-2831 Fax:
Mailing address
12902 E 51ST ST
TULSA, OK 74134-6712
Phone: (918) 994-3476 Fax:
Organization Subpart
Yes - MEDWISE LLC is subpart of another organization.
Authorized Official
DENNIS BLACKSTAD
PRESIDENT
Phone: (918) 605-6582
Updated
Certification Date
Mar 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.