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

Michael Blose, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427687458

Michael Blose, DO is an Emergency Medicine in Tulsa, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2020, 6 years ago. Practices with Premier Physician Staffing 2 PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2020
Specialties on file
2
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

744 W 9th St
Tulsa, OK 74127-9907
Phone: (918) 599-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 7276 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427687458
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing address5942 E 4th Pl, Tulsa, OK 74112-1631

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Premier Physician Staffing 2 Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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