Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Olivia Charlotte Blackstone, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1144858077

Dr. Olivia Charlotte Blackstone, DO is an Obstetrics/Gynecology in Phoenix, Arizona. Graduated from Midwestern University College of Dental Medicine, Glendale in 2020, 6 years ago. Practices with Genesis OB GYN PLLC, a 108-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Trained at
Midwestern University College of Dental Medicine, Glendale
Licensed in
AZ
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11209 N Tatum Blvd Ste 255
Phoenix, AZ 85028-6061
Phone: (602) 494-5050
Fax: (866) 777-2248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4530 N 32nd St Ste 100, Phoenix, AZ 85018-3357 — (602) 498-3912

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 011075 (AZ)

Record details

NPI number1144858077
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduated 2020 (6 years in practice)
Group practice Genesis Ob Gyn Pllc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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