Individual
BLAKE A LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
(918) 579-1218
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3826
(918) 579-1262
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
16264
OK
207RP1001X
Pulmonary Disease Physician
16264
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000205533
KS BLUE CROSS
KS
05
—
100156240H
—
KS
05
—
100178780A
—
OK
05
—
121409001
—
AR
05
—
2050549604
—
KS
05
—
206894506
—
MO
01
—
55425
AR BLUE CROSS
AR
Enumeration date
06/15/2006
Last updated
03/04/2026
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