MEDWISE LLC
NPI 1457173122
Durable Medical Equipment & Medical Supplies in Bartlesville, OK

NPI Status: Active since October 24, 2024

Contact Information

505 SE WASHINGTON BLVD
UNIT B
BARTLESVILLE, OK
ZIP 74006
Phone: (918) 524-9760

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 37D2200712
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 11-16-2026

About MEDWISE LLC

This page provides the complete NPI Profile along with additional information for Medwise Llc, a provider established in Bartlesville, Oklahoma operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1457173122 assigned on October 2024. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated March 2025. The provider's . The authorized official of this NPI record is Dennis Sidney Blackstad Md (President)

NPI
1457173122
Provider Legal Name
MEDWISE LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
505 SE WASHINGTON BLVD UNIT B BARTLESVILLE, OK 74006
Location Phone
(918) 524-9760
Mailing Address
12902 E 51ST ST TULSA, OK 74134
Mailing Phone
(918) 994-3476
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-24-2024
Last Update Date
03-19-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENNIS SIDNEY BLACKSTAD MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(918) 605-6582

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2200712
Facility Type
Other - URGENT CARE
Certificate Effective Date
November 17, 2024
Certificate Expiration Date
November 16, 2026
Laboratory Director
DENNIS BLACKSTAD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medwise Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457173122
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2410727614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 2 + 7 + 6 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1457173122 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457173122, enumerated in the NPI registry as an "organization" on October 24, 2024

The provider is located at 505 Se Washington Blvd Unit B Bartlesville, Ok 74006 and the phone number is (918) 524-9760

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider's CLIA number is 37D2200712 for a "other - urgent care" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 24, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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