JOHN C BLACKBURN (NPI# 1215168604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215168604 |
| Entity Type | Individual |
| Full Name | JOHN C BLACKBURN |
| Credential | PC |
| Practice Address |
3130 N Dixie Hwy Troy OH 45373-1337 |
| Practice Telephone | 9374407001 |
| Practice Fax Number | 9374407076 |
| Mailing Telephone | 9374407001 |
| Mailing Fax Number | 9374407076 |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C0004511 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417490 | John Donald Blackburn II | Specialist/Technologist | 1995 Thunder Rd, Eagle Lake, FL 33839-3086 | 2020-01-31 |
| 1164490801 | John Stephen Blackburn | Nurse Anesthetist, Certified Registered | 7210g Broad River Rd, Irmo, SC 29063-7972 | 2006-03-09 |
| 1396741575 | John Roberts Blackburn | Urology | 719 W Coke Rd, Ste 2, Winnsboro, TX 75494-3060 | 2005-06-22 |
| 1841511037 | John W Blackburn | Anesthesiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2010-06-22 |
| 1891970901 | John D. Blackburn | Physical Therapist | 500 Porter Ave, Aurora, MO 65605-2365 | 2008-01-08 |
| 1093777864 | John Devin Blackburn | Optometrist | 7409 N Cedar Ave, #103, Fresno, CA 93720-3836 | 2006-04-05 |
| Street Address |
3130 N DIXIE HWY |
| City | TROY |
| State | OH |
| Zip Code | 45373-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809445 | Ronald Karl Setzkorn | Radiology | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2005-05-30 |
| 1124518097 | Ryan Edward Mceldowney | Pharmacist | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2018-05-15 |
| 1326477050 | Kyle Kirby | Physician Assistant | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2013-11-04 |
| 1659624351 | Yusef A Hammuda | Physician Assistant | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2012-10-18 |
| 1518242122 | R&c Pathology Consultants Inc | Pathology | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2011-10-14 |
| 1447580535 | Shelley Rae Maier | Physician Assistant | 3130 N Dixie Hwy, Suite 203, Troy, OH 45373-1337 | 2010-01-12 |
| 1548497092 | Angela M Gehret | Social Worker | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2009-06-11 |
| 1518108224 | Julie D Manuel | Counselor | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2009-03-11 |
| 1376784157 | Jim T Moore | Counselor | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2009-03-09 |
| 1396986170 | H Gregory Kelly | Counselor | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2009-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561945 | Jennifer Nichole Susan | Counselor | 1080 Kirts Blvd Ste 100, Troy, MI 48084-4853 | 2020-09-02 |
| 1275151631 | Kristin Colleen Ansel | Counselor | 838 Norwich Dr, Troy, MI 48084-2630 | 2020-07-10 |
| 1376167221 | Paula Denyes, Ma, Lpc, LLC | Counselor | 5705 Whitfield Dr, Troy, MI 48098-5112 | 2020-06-05 |
| 1750914818 | Karen Haley Cersley | Counselor | 5578 Richmond Rd Ste 203, Troy, VA 22974-4421 | 2020-02-18 |
| 1750920922 | Kimberly Lynn Roberts | Counselor | 68 Shirley Dr, Troy, MO 63379-6304 | 2020-01-05 |
| 1619532165 | Leslie Myers | Counselor | 116 E Missoula Ave, Troy, MT 59935-5993 | 2019-05-09 |
| 1669933842 | Carrie Pardon | Counselor | 3668 Livernois Rd, Troy, MI 48083-5035 | 2019-03-28 |
| 1265999353 | Jaime Collins | Counselor | 2489 Derby Rd, Troy, MI 48084-2663 | 2019-02-25 |
| 1255804126 | Natalie Elizabeth Grierson | Counselor | 305 Public Sq Ste 1, Troy, OH 45373-3894 | 2019-01-03 |
| 1538630231 | Felicia K Ewing | Counselor | 197 E Us Highway 40, Troy, IL 62294-2262 | 2018-12-06 |
| Find all providers in TROY | ||||
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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.