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CHARGER HEALTH GROUP PLLC
NPI 1346855640
Family Medicine in Broken Arrow, OK

Active since September 14, 2020CLIA 37D2193366 · Waiver
511 N ASPEN AVE, BROKEN ARROW, OK 74012(918) 806-8050(918) 806-8090 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2020, Sep 14, 2020 (2 updates tracked since 2020).

About Charger Health Group Pllc NPPES

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

CHARGER HEALTH GROUP PLLC (NPI 1346855640) is a healthcare organization registered as a family medicine in Broken Arrow, Oklahoma and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Dennis S Blackstad, Owner, as its authorized official.

NPPES Registry Identity

NPI1346855640
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHARGER HEALTH GROUP PLLC
Location Address511 N ASPEN AVEBroken Arrow, OK 74012-2220
Mailing AddressPo Box 342Broken Arrow, OK 74013-0342 · (918) 605-6582
Phone(918) 806-8050
Fax(918) 806-8090
Organization SubpartNo
Authorized OfficialDennis S BlackstadOwner · (918) 605-6582
Enumeration DateSeptember 14, 2020
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1346855640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
511 N ASPEN AVE, Broken Arrow, OK 74012
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 37D2193366

Charger Health Group, PLLC · Broken Arrow, OK
Active · expires Sep 20, 2026
CLIA Number37D2193366
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorDennis S. Blackstad
Laboratory Phone(918) 806-8050
Laboratory LocationCharger Health Group, PLLC511 North Aspen, Broken Arrow, OK 74012
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 2

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

DENNIS SIDNEY BLACKSTAD DO
Family Medicine
511 N ASPEN AVE
BROKEN ARROW, OK 74012
Tulsa County (918) 806-8050
BETTER LIVING MEDICAL EQUIPMENT & REPAIR LLC
Durable Medical Equipment & Medical Supplies
511 N ASPEN AVE
BROKEN ARROW, OK 74012
Tulsa County (918) 299-1100

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 Charger Health Group PLLC's NPI number?

The NPI number for Charger Health Group PLLC is 1346855640. It was assigned to this organization in the NPPES registry on September 14, 2020.

Where is Charger Health Group PLLC located?

Charger Health Group PLLC is located at 511 N Aspen Ave, Broken Arrow, OK 74012. The listed phone number is (918) 806-8050.

What is Charger Health Group PLLC's specialty?

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

Does Charger Health Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2193366) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charger Health Group PLLC was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.