Timothy Blackstad, DO
NPI 1396523643 · Student in an Organized Health Care Education/Training Program · Tulsa, OK
Timothy Blackstad, DO is a Student in an Organized Health Care Education/Training Program provider in Tulsa, OK (NPI 1396523643).
Provider details
- NPI number
- 1396523643
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1111 W 17th StTulsa, OK 74107-1886Phone: (918) 582-1972
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Frequently asked questions
- What is Timothy Blackstad's NPI number?
- Timothy Blackstad's National Provider Identifier (NPI) is 1396523643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Blackstad's specialty?
- Timothy Blackstad is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Timothy Blackstad located?
- Timothy Blackstad's practice location on file with NPPES is 4502 E 41st St, Tulsa, OK 74135-2536.
- What is Timothy Blackstad's phone number?
- The practice phone number listed in the NPPES registry for Timothy Blackstad is (918) 579-2367.
- Is Timothy Blackstad's NPI active?
- Yes — Timothy Blackstad's NPI (1396523643) is active in the NPPES registry as of the last update on 2025-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.