BENJERMEN ALAN BLACKMER (NPI# 1194218636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194218636 |
| Entity Type | Individual |
| Full Name | BENJERMEN ALAN BLACKMER |
| Credential | DO |
| Practice Address |
1460 N Center Rd Burton MI 48509-1429 |
| Practice Telephone | 8107154300 |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2018-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
5101024048 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1460 N CENTER RD |
| City | BURTON |
| State | MI |
| Zip Code | 48509-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811970841 | Tavanappa Vasanthakumar | Emergency Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2005-11-23 |
| 1972121804 | Nazia Rahman | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2020-07-07 |
| 1649832767 | Furqan Rajput | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-28 |
| 1184286254 | Stephanie Papaconstantinou | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-28 |
| 1881256964 | Jimmy Qaqish | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-28 |
| 1972164788 | Pegah Akbari | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-23 |
| 1013577055 | Maria Barrera | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-20 |
| 1548820558 | Nilesh Maraj Prashad | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-20 |
| 1003476193 | Bineh-karan Singh Kalra | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-19 |
| 1639738958 | Timothy Michael Swords | Family Medicine | 1460 N Center Rd, Burton, MI 48509-1429 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1538657697 | Jenny Dudley | Nurse Practitioner | 1501 Center Rd, Burton, MI 48509 | 2018-04-24 |
| 1831618289 | Michael T Sproule | Registered Nurse | 6201 Woodmoor Dr, Burton, MI 48509 | 2017-09-18 |
| 1083159438 | William H Moon Jr Dds | Dentist | 1481 South Center Road, Burton, MI 48509 | 2016-12-21 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1760722896 | Ambe Inc. | Pharmacy | 6009 E. Lapeer Rd, Burton, MI 48509 | 2013-02-27 |
| 1669519328 | Planned Parenthood Mid and South Michigan | Clinic/Center | G1235 S Center Rd, Unit #17, Burton, MI 48509 | 2007-01-31 |
| 1073689899 | Tender Dental Care PC | Dentist | 1024 N Genesee, Burton, MI 48509 | 2006-11-24 |
| 1043385701 | William H Moon Jr. | Dentist | 1481 S Center Rd, Burton, MI 48509 | 2006-11-21 |
| 1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
| Find all providers in zip 48509 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717632 | Visiting Caring Doctors Plc | Family Medicine | 18000 W 9 Mile Rd Ste 700l, Southfield, MI 48075-4009 | 2020-10-15 |
| 1265045389 | Synchronymd Limited Liability Company | Family Medicine | 1578 Scenic Hollow Dr, Rochester Hills, MI 48306-3246 | 2020-08-28 |
| 1063045839 | Rtsmedicalgroupllc | Family Medicine | 5210 Yorkshire Rd, Detroit, MI 48224-2139 | 2020-02-19 |
| 1194234120 | Prime Mobile Care Incorporated | Family Medicine | 17515 W 9 Mile Rd Ste 375, Southfield, MI 48075-4404 | 2017-09-21 |
| 1093233132 | Right At Home Physicians Pllc | Family Medicine | 22001 Kelly Rd Ste 2, Eastpointe, MI 48021-2726 | 2017-09-08 |
| 1821531831 | Ant Hill, Inc. | Family Medicine | 21 Midland St, Highland Park, MI 48203-3727 | 2016-11-22 |
| 1518419043 | Alma Care Visiting Services | Family Medicine | 11352 Gabriel St, Romulus, MI 48174-1431 | 2016-11-01 |
| 1801341821 | Bridgette Defrance | Family Medicine | 42074 Greenwood Dr, Canton, MI 48187-3615 | 2016-08-19 |
| 1417311762 | Adam Wolfe | Family Medicine | 1101 W University Dr # 2-south, Rochester, MI 48307-1863 | 2016-04-12 |
| 1801255906 | Westland Primary Care Pllc | Family Medicine | 8311 N Wayne Rd, Westland, MI 48185-1351 | 2016-02-17 |
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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.