BLUE STEM CARDIOLOGY PC; NPI #1922014240

Contact Information

BLUE STEM CARDIOLOGY PC

3400 SE FRANK PHILLIPS
# 502
BARTLESVILLE, OK 74006

Phone: 918-331-2577
Fax: 918-331-2513
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for BLUE STEM CARDIOLOGY PC

NPI Number 1922014240

LBN Legal business name BLUE STEM CARDIOLOGY PC

Authorized official JEAN JENSEN - (PRACTICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/31/2006

Last updated 11/19/2009 - About 17 years ago

Identifiers

Medicaid

100749340A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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