MEDWISE LLC
NPI 1487454658
Durable Medical Equipment & Medical Supplies in Broken Arrow, OK
About Medwise Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDWISE LLC (NPI 1487454658) is a healthcare organization registered as a durable medical equipment & medical supplies in Broken Arrow, Oklahoma and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Dennis Sidney Blackstad, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 37D2207085
Medwise, LLC · Broken Arrow, OKOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Medwise LLC's NPI number?
The NPI number for Medwise LLC is 1487454658. It was assigned to this organization in the NPPES registry on March 17, 2025. The provider is also known as MedWise Urgent Care - Broken Arrow - North.
Where is Medwise LLC located?
Medwise LLC is located at 1095 N Aspen Ave, Broken Arrow, OK 74012. The listed phone number is (918) 727-2831.
What is Medwise LLC's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
Does Medwise LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2207085) is associated with this NPI, valid through December 22, 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 Medwise LLC was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Medwise Llc · NPI 1487454658
Durable Medical Equipment & Medical Supplies organization in Broken Arrow, Oklahoma. Organization record, active in the CMS NPPES registry since March 17, 2025.
## Identity
- **NPI:** 1487454658 (Entity type: Organization)
- **Enumerated:** March 17, 2025
- **Primary specialty:** Durable Medical Equipment & Medical Supplies · taxonomy 332B00000X
- **Also known as:** MedWise Urgent Care - Broken Arrow - North (Other Name)
- **Organization subpart:** Yes (part of Medwise Llc)
- **Authorized official:** Dennis Blackstad, PRESIDENT
## Practice location
- **Address:** 1095 N ASPEN AVE, Broken Arrow, OK 74012-9641
- **Phone:** (918) 727-2831
## Record status
- **NPPES last updated:** March 17, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487454658) · Data from the CMS NPPES public registry.