ROBERT V BLAKEBURN MD PC - NPI 1033106448 - Family Medicine in Clinton, OK

Q: What is Robert V Blakeburn MD PC's NPI number?

The NPI number for Robert V Blakeburn MD PC is 1033106448. It was assigned to this organization in the NPPES registry on September 30, 2005.

Q: What is Robert V Blakeburn MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Robert V Blakeburn Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT V BLAKEBURN MD PC (NPI 1033106448) is a healthcare organization registered as a family medicine in Clinton, Oklahoma and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Robert Van Blakeburn, President/owner, as its authorized official.

NPPES Registry Identity

NPI1033106448

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameROBERT V BLAKEBURN MD PC

Location Address800 FRISCO AVEClinton, OK 73601-3306

Mailing Address800 Frisco AveClinton, OK 73601-3306 · (580) 323-2700 · Fax (580) 323-2718

Phone(580) 323-2700

Fax(580) 323-2718

Organization SubpartNo

Authorized OfficialRobert Van BlakeburnPresident/owner · (580) 323-2700

Enumeration DateSeptember 30, 2005

Last NPPES UpdateApril 1, 2026

NPPES CertifiedApril 1, 2026

✔ NPI 1033106448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 17199

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

800 FRISCO AVE, Clinton, OK 73601

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Other Identifiers 1

Medicaid100110960COK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1080820

Robert V Blakeburn, MD, PC · Clinton, OK

Active · expires Jan 11, 2027

CLIA Number37D1080820

Laboratory TypePhysician Office

Certificate Effective DateJanuary 12, 2025

Certificate Expiration DateJanuary 11, 2027

Laboratory DirectorRobert V. Blakeburn

Laboratory Phone(580) 323-2700

Laboratory LocationRobert V Blakeburn, MD, PC800 Frisco Ave, Clinton, OK 73601

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. GINGER LYNN WOODALL ARNP-CNP

Nurse Practitioner (Family)