BLAKE L. ANDERSON MD PHD – NPI #1962499574
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

BLAKE ANDERSON is an otolaryngologist located in TULSA, OK. NPPES has assigned the NPI number 1962499574 to BLAKE ANDERSON on September 29, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 5 years ago on Jan 12, 2021. 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 BLAKE ANDERSON below.

NPI Profile for
BLAKE L. ANDERSON

NPI Number
1962499574
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BLAKE L. ANDERSON
Credentials
MD PHD
Primary location
9001 S 101ST EAST AVE STE 280
TULSA, OK 74133-5711
Phone: (918) 459-8824 Fax:
Mailing address
1145 S UTICA AVE STE 110
TULSA, OK 74104-4013
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 12, 2021

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.

Identifiers

Identifiers for BLAKE ANDERSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBEECHSTREETTX1459097
MEDICAIDTX157856901
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
207Y00000X
- Otolaryngology (Primary)
TX L6260

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.

Additional Information

Education
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS - Graduated 1998
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BLAKE ANDERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • HILLCREST HOSPITAL CLAREMORE
      1202 N MUSKOGEE PLACE
      CLAREMORE, OK 74017
    • HILLCREST HOSPITAL PRYOR
      111 NORTH BAILEY STREET
      PRYOR, OK 74361
    • HILLCREST HOSPITAL SOUTH
      8801 SOUTH 101ST EAST AVENUE
      TULSA, OK 74133
    • HILLCREST MEDICAL CENTER
      1120 SOUTH UTICA AVENUE
      TULSA, OK 74104

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