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

Active since September 30, 2005CLIA 37D1080820 · Waiver
800 FRISCO AVE, CLINTON, OK 73601(580) 323-2700(580) 323-2718 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert V Blakeburn Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Robert V Blakeburn MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Chandra Ake, ARNP
Nurse Practitioner
NPI 1649745522
800 FRISCO AVE
Clinton, OK 73601
(580) 323-2700
✔ PECOS✔ Accepts MedicareSame address
Kyle Edwards, APRN FNP-C
Nurse Practitioner
NPI 1790260511
800 FRISCO AVE
Clinton, OK 73601
(580) 323-2700
✔ PECOS✔ Accepts MedicareSame address
Angela Pope-Bailey, ARNP
Nurse Practitioner
NPI 1629209721
800 FRISCO AVE
Clinton, OK 73601
(580) 323-2700
✔ PECOS0.5 mi
Jessica Simmons, APRN, FNP-BC
Nurse Practitioner
NPI 1174108518
90 N 30TH ST STE 1
Clinton, OK 73601
(580) 323-0232
✔ PECOS✔ Accepts Medicare2.0 mi
Mark Mann, M.D.
Family Practice
NPI 1184649584
90 N. 30TH STREET SUITE 1
Clinton, OK 73601
(580) 323-0232
✔ PECOS✔ Accepts Medicare2.0 mi
Ashley Morris, APRN, NP-C
Nurse Practitioner
NPI 1245586924
517 S 30TH ST
Clinton, OK 73601
(580) 331-3775
✔ PECOS✔ Accepts Medicare2.0 mi
Kerby Lamb, DO
Family Practice
NPI 1639122369
3743 LEGACY
Weatherford, OK 73096
(580) 772-0223
✔ PECOS✔ Accepts Medicare15 mi
Robert Blakeburn, MD
Emergency Medicine
NPI 1164419560
2085 S PACHECO ST
Santa Fe, NM 87505
(505) 395-3000
✔ PECOS✔ Accepts Medicare394 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Robert V Blakeburn MD PC located?

Robert V Blakeburn MD PC is located at 800 Frisco Ave, Clinton, OK 73601. The listed phone number is (580) 323-2700.

What is Robert V Blakeburn MD PC's specialty?

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

Is Robert V Blakeburn MD PC enrolled in Medicare?

Yes. Robert V Blakeburn MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert V Blakeburn MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Robert V Blakeburn MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (2) and Emergency Medicine (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Robert V Blakeburn MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1080820) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Robert V Blakeburn MD PC was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.