# MEDWISE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDWISE LLC
- **Other names:** MedWise Urgent Care - Admiral
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538981204
- **Legal business name:** MEDWISE LLC
- **Authorized official:** DENNIS SIDNEY BLACKSTAD MD (PRESIDENT)
- **Authorized official phone:** (918) 605-6582

## Contact information

- **Practice address:** 6336 E ADMIRAL PL, TULSA, OK 74115
- **Practice address phone:** (918) 727-2831
- **Mailing address:** 12902 E 51ST ST, TULSA, OK 74134-6712
- **Mailing address phone:** (918) 994-3476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2024
- **Last updated:** 03/19/2025