BLACKBELT CLINIC (NPI# 1245486505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245486505 |
Entity Type | Organization |
Organization Name | BLACKBELT CLINIC |
Practice Address |
1302 North Washington Livingston AL 35470-0000 |
Practice Telephone | 2056522070 |
Practice Fax Number | 2056522071 |
Mailing Telephone | 2056522070 |
Mailing Fax Number | 2056522071 |
Enumeration Date | 2008-08-18 |
Last Update Date | 2009-01-16 |
Authorized Official Name | ERIK PAUL LESSMANN (OWNER) |
Authorized Official Telephone | 2056522070 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 25980 | AL | Allopathic & Osteopathic Physicians |
Street Address |
1302 NORTH WASHINGTON |
City | LIVINGSTON |
State | AL |
Zip Code | 35470-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225513278 | Comfort Care Home Health of West Alabama, LLC | Home Health | 1306 North Washington Street, Livingston, AL 35470 | 2018-09-26 |
1164956819 | Amanda Compton | Specialist/Technologist | Station 14, Livingston, AL 35470 | 2017-04-19 |
1821537028 | Melanie Wilkie Queen | Speech-Language Pathologist | 306 South Washington Street, Livingston, AL 35470 | 2017-02-21 |
1700259595 | Kelly Devota Edwards | Student in an Organized Health Care Education/Training Program | 100 North Washington St Station 14, Livingston, AL 35470 | 2015-11-03 |
1194196618 | Andrea Wilson | Health Educator | 100 North Washington St., Station 14, Livingston, AL 35470 | 2015-10-09 |
1124497227 | Victoria Keen | Specialist/Technologist | Station #14, University of West Alabama, Livingston, AL 35470 | 2015-09-18 |
1588033682 | Aaron Miles | Specialist/Technologist | Uwa Station # 14, Livingston, AL 35470 | 2015-09-18 |
1316322621 | Ashley Kyler | Speech-Language Pathologist | 306 Washington St South, Livingston, AL 35470 | 2015-07-28 |
1528451390 | Stacey Belnap | Occupational Therapist | 306 South Washington St, Livingston, AL 35470 | 2015-03-18 |
1396136552 | Lindsey Roberts | Speech-Language Pathologist | 306 Washington St. South, Livingston, AL 35470 | 2015-02-10 |
Find all providers in zip 35470 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508488156 | Urgent Health Solutions Livingston | Family Medicine | 1615 W Church St Ste 100, Livingston, TX 77351-8862 | 2020-05-16 |
1801381934 | Park Health Care Pllc | Family Medicine | 1001 River Dr Ste 100, Livingston, MT 59047-3716 | 2018-07-01 |
1669986030 | Ran Health Services, Inc. | Family Medicine | 517 Main St Ste A, Livingston, CA 95334-1427 | 2017-11-21 |
1376922252 | Sandeep Pinnapureddy | Family Medicine | 204 W Park Ste 200, Livingston, TX 77351-9337 | 2015-05-25 |
1487975447 | Johneca Rochelle Broussard | Family Medicine | 309 Highway 59 South Loop, Livingston, TX 77351 | 2010-06-14 |
1346563020 | Stephen Patrick Mcculloh | Family Medicine | 13960 Florida Blvd., Livingston, LA 70754 | 2010-03-09 |
1407097470 | Lauren Gillis Moore | Family Medicine | 13960 Florida Boulevard, Livingston, LA 70754 | 2009-03-20 |
1821256314 | James Gordon Allison | Family Medicine | 25 Willow Bend Lane, Livingston, MT 59047 | 2008-05-30 |
1174701916 | Livingston After Hours & Occupational Medicine LLC | Family Medicine | 14292 Florida Boulevard, Livingston, LA 70754 | 2008-02-04 |
1710030275 | Sandra Kay Hutchison | Family Medicine | 403 Ogletree Dr Ste 105, Livingston, TX 77351-9444 | 2007-01-19 |
Find all providers in LIVINGSTON |
City | LIVINGSTON |
Zip Code | 35470 |
Please comment or provide details below to improve the information on BLACKBELT CLINIC.
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.