DR. MICHAEL BENDELE BLACKMON (NPI# 1043202849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043202849 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BENDELE BLACKMON |
| Credential | M.D. |
| Practice Address |
6124 W Parker Rd Suite 530 Plano TX 75093-8122 |
| Practice Telephone | 2147781075 |
| Practice Fax Number | 2147781237 |
| Mailing Telephone | 2147781075 |
| Mailing Fax Number | 2147781237 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
311912 | LA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
K0266 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01081457A | IN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
K0266 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 468450025 | 2602665260 | 2602665279 |
| 309 Jackson St, Monroe, LA 712017407 | 3189664541 | 3189664543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962575290 | Michael Martin Blackmon | Dentist | 160 Three Rivers Dr, Suite 100, Rome, GA 30161 | 2006-11-16 |
| Street Address |
6124 W PARKER RD SUITE 530 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246808 | Dean A Cione | Surgery | 6124 W Parker Rd, Ste 436, Plano, TX 75093-8125 | 2005-06-21 |
| 1013491430 | Joel D Campbell, M.d., P.a. | Psychiatry & Neurology | 6124 W Parker Rd, Suite 432, Plano, TX 75093-8124 | 2018-09-21 |
| 1417409111 | Julianne Santarosa Md Pllc | Surgery | 6124 W Parker Rd, Suite 436, Plano, TX 75093-8122 | 2016-10-28 |
| 1295287381 | Angela M Watson, Md, Pa | Obstetrics & Gynecology | 6124 W Parker Rd, Ste 134, Plano, TX 75093-8122 | 2016-10-25 |
| 1609226786 | Shelbie Kristine Reed | Physician Assistant | 6124 W Parker Rd, Suite 234, Plano, TX 75093-8122 | 2016-06-20 |
| 1962872382 | Sudama Reddi M.d, P.a | Psychiatry & Neurology | 6124 W Parker Rd, Suite 432, Plano, TX 75093-8122 | 2015-09-28 |
| 1003238056 | Pediatric Endocrinology of North Texas, Pllc | Clinic/Center | 6124 W Parker Rd, Medical Office Building 3, Suite #330, Plano, TX 75093-8122 | 2014-01-10 |
| 1487082061 | Kyler E Elwell Md Pa | Obstetrics & Gynecology | 6124 W Parker Rd, Ste 134, Plano, TX 75093-8122 | 2013-10-17 |
| 1285980953 | West Plano Diabetes and Endocrine Center, P.a. | Internal Medicine | 6124 W Parker Rd, Suite 332, Plano, TX 75093-8122 | 2012-07-31 |
| 1730443805 | Michael A Deck Md Pa | Clinical Medical Laboratory | 6124 W Parker Rd, Suite G36, Plano, TX 75093-8122 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205048956 | Collin County Pulmonary Associates | Internal Medicine | 1630 Coit Rd, Suite 104, Plano, TX 75075-6157 | 2007-05-04 |
| 1881752251 | Rosula R Rajendran | Internal Medicine | 9712 Zembriski Dr, Plano, TX 75025-6502 | 2006-12-05 |
| 1104928340 | Mari Adachi | Internal Medicine | 4716 Alliance Blvd Ste 700, Plano, TX 75093-5389 | 2006-09-01 |
| 1295797025 | Timothy Betz | Internal Medicine | 6100 Windcom Ct, #102, Plano, TX 75093-7886 | 2006-04-05 |
| 1285031807 | Solara Medical Group Pllc | Internal Medicine | 850 Central Pkwy E, Suite 275, Plano, TX 75074-5561 | 2014-11-25 |
| 1164790150 | Malladi R. Sastry, Md, Pa | Internal Medicine | 4100 W 15th St, Suite 216, Plano, TX 75093-5803 | 2011-12-06 |
| 1154553923 | James P. Loftin Md | Internal Medicine | 6124 W Parker Rd, Suite 238, Plano, TX 75093-8122 | 2009-08-12 |
| 1245277375 | John Hughes | Internal Medicine | 6124 W Parker Rd, Suite 530, Plano, TX 75093-8122 | 2006-05-31 |
| 1285696914 | Timothy Rae Chappell | Internal Medicine | 6100 Windcom Ct, #102, Plano, TX 75093-7886 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431907 | Texas Lung Care Associates Pllc | Internal Medicine | 115 Wendover Ct, Southlake, TX 76092-8589 | 2020-09-09 |
| 1437782430 | Evette Karlene Robinson | Internal Medicine | 1904 Pine St Ste 4c, Abilene, TX 79601-2450 | 2020-02-18 |
| 1154964526 | Sridhar Badireddi Md Pa | Internal Medicine | 3500 Gaston Ave # Floors34, Dallas, TX 75246-2017 | 2019-10-17 |
| 1740830702 | Jamal Adel Turki | Internal Medicine | 20510 Walnut Canyon Dr, Katy, TX 77450-5427 | 2019-09-12 |
| 1245885342 | Manica Isiguzo, Md Pa | Internal Medicine | 34910 Interstate 10 W Ste 601, Boerne, TX 78006-9230 | 2019-08-06 |
| 1497243943 | Howard M Mintz Md Pllc | Internal Medicine | 10501 N Central Expy Ste 101, Dallas, TX 75231-2203 | 2018-04-30 |
| 1417457938 | Lung Specialist Associates of Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 455, Sherman, TX 75092-7391 | 2018-02-21 |
| 1265943104 | Greater Houston Lung and Sleep Center Pllc | Internal Medicine | 6550 Fannin St Ste 2321, Houston, TX 77030-2723 | 2017-10-18 |
| 1164961405 | Texas Pulmonology Inc | Internal Medicine | 19315 Country Village Dr, Spring, TX 77388-3080 | 2017-02-20 |
| 1013382753 | Internal & Pulmonary Granbury | Internal Medicine | 2214 E Us Highway 377, Ste B, Granbury, TX 76049-6010 | 2015-12-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.