DR. RICHARD JAY BLACKBURN (NPI# 1275519878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275519878 |
| Entity Type | Individual |
| Full Name | DR. RICHARD JAY BLACKBURN |
| Credential | DO |
| Practice Address |
705 Washington St Ravenswood WV 26164-1729 |
| Practice Telephone | 3048686000 |
| Practice Fax Number | 3048686002 |
| Mailing Telephone | 3048686000 |
| Mailing Fax Number | 3048686002 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1455 | WV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558467431 | Richard E Blackburn | Psychiatry & Neurology | 2868 Mahan Dr, Suite 5, Tallahassee, FL 32308-5468 | 2006-09-16 |
| 1891215760 | Richard Blackburn | Dentist | 3532 Howard Ave Ste 200, Los Alamitos, CA 90720-3699 | 2017-06-22 |
| 1619227162 | Richard Blackburn | Rehabilitation Practitioner | 1328 2nd St, Santa Monica, CA 90401-1122 | 2012-09-12 |
| 1356466049 | Richard Blackburn | Counselor | 1010 E 45th St, Shawnee, OK 74804-2202 | 2007-03-20 |
| 1134293400 | Richard Anthony Blackburn | Psychologist | 1400 N Union Ave, Fergus Falls, MN 56537-1248 | 2006-11-20 |
| 1801834767 | Richard Randall Blackburn | Specialist | 805 6th Ave W Ste 100, Hendersonville, NC 28739-4160 | 2006-06-03 |
| Street Address |
705 WASHINGTON ST |
| City | RAVENSWOOD |
| State | WV |
| Zip Code | 26164-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538156518 | Robert A Hess | Family Medicine | 705 Washington St, Ravenswood, WV 26164-1729 | 2005-10-04 |
| 1073003117 | Tabitha Lynn Smith | Nurse Practitioner | 705 Washington St, Ravenswood, WV 26164-1729 | 2018-05-15 |
| 1427570076 | Jeanna Mcgill | Psychologist | 705 Washington St, Ravenswood, WV 26164-1729 | 2017-07-14 |
| 1205358009 | Annie Forbes Lane | Social Worker | 705 Washington St, Ravenswood, WV 26164-1729 | 2017-07-13 |
| 1902326093 | Julie Blair | Social Worker | 705 Washington St, Ravenswood, WV 26164-1729 | 2017-06-21 |
| 1326411323 | Ohio Valley Physicians Inc | Clinic/Center | 705 Washington St, Ravenswood, WV 26164-1729 | 2015-11-12 |
| 1417328915 | Amy Sullivan | Counselor | 705 Washington St, Ravenswood, WV 26164-1729 | 2015-10-10 |
| 1023413226 | Matthew Colvin | Physician Assistant | 705 Washington St, Ravenswood, WV 26164-1729 | 2014-10-30 |
| 1316350556 | Med Ex Pllc | Clinical Medical Laboratory | 705 Washington St, Ravenswood, WV 26164-1729 | 2014-06-05 |
| 1356502785 | Jeffrey L Jones | Physician Assistant | 705 Washington St, Ravenswood, WV 26164-1729 | 2008-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851787246 | First Settlement Physical Therapy | Physical Therapist | 240 Washington St, Ravenswood, WV 26164 | 2015-04-13 |
| 1467840975 | Gretchen Lynn Hammond | Nurse Practitioner | 859 Century Road, Ravenswood, WV 26164 | 2015-01-06 |
| 1780809095 | Emily Mccoy | Physical Therapy Assistant | 200 South Ritchie Ave, Ravenswood, WV 26164 | 2007-04-13 |
| 1427110717 | M A Zurita Hernando Ibrahim | Physical Therapist | 240 Washington Street, Ravenswood, WV 26164 | 2006-12-14 |
| 1770687121 | Helen Dee Rymer | Dentist | 707 Washington Street, Ravenswood, WV 26164 | 2006-09-07 |
| 1093723207 | Michael Joseph Witt | Family Medicine | Alcan Rolled Products, Century Road, Ravenswood, WV 26164 | 2006-08-03 |
| 1356793095 | Ashley M Matheny | Psychologist | 606 Washington St, Ravenswood, WV 26164 | 2016-07-06 |
| 1013039965 | Physical Therapy Providers Pllc | Clinic/Center | 240 Washington Street, Ravenswood, WV 26164 | 2007-04-04 |
| 1356403703 | Wirt County Health Services Association, Inc | Family Medicine | 606 Washington Street, Ravenswood, WV 26164 | 2006-12-14 |
| 1700320579 | Activate Healthcare - Constellium | Clinic/Center | 859 Century Road, Ravenswood, WV 26164-0068 | 2016-12-13 |
| Find all providers in zip 26164 | ||||
| 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 |
|---|---|---|---|---|
| 1093723207 | Michael Joseph Witt | Family Medicine | Alcan Rolled Products, Century Road, Ravenswood, WV 26164 | 2006-08-03 |
| 1538156518 | Robert A Hess | Family Medicine | 705 Washington St, Ravenswood, WV 26164-1729 | 2005-10-04 |
| 1942407465 | Equinox LLC | Family Medicine | 705 Washington St, Ravenswood, WV 26164-1729 | 2007-06-28 |
| 1962616771 | Ronald E Greer II | Family Medicine | 606 Washington St, Ravenswood, WV 26164-1730 | 2007-05-10 |
| 1487877551 | Bonnie Heather Templeton | Family Medicine | 606 Washington St, Ravenswood, WV 26164-1730 | 2007-04-10 |
| 1356403703 | Wirt County Health Services Association, Inc | Family Medicine | 606 Washington Street, Ravenswood, WV 26164 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652868 | Grace Health Care Pllc | Family Medicine | 223 5th Ave, Huntington, WV 25701-1809 | 2020-09-02 |
| 1356954259 | Relymd Medical Group Wv, Pllc | Family Medicine | 1627 Quarrier St, Charleston, WV 25311-2124 | 2020-08-28 |
| 1174133243 | Jacqulyn Marie Sheppard | Family Medicine | 2647 Raceview Dr, Ona, WV 25545-9636 | 2020-08-04 |
| 1194341594 | E. A. Hawse Health Center, Inc. | Family Medicine | Romney Elementary School, 45 School Street, Romney, WV 26757 | 2020-06-22 |
| 1730705328 | E. A. Hawse Health Center, Inc. | Family Medicine | Romney Middle School, 296 Calvert Drive, Romney, WV 26757 | 2020-06-19 |
| 1437775251 | E. A. Hawse Health Center, Inc. | Family Medicine | Hampshire High School, 157 Trojan Way, Romney, WV 26757-6317 | 2020-06-17 |
| 1235753286 | Community Health Association | Family Medicine | 146 Pinnell St, Ripley, WV 25271-9101 | 2020-06-05 |
| 1871114546 | Family Care Plus Pllc | Family Medicine | 320 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1364 | 2020-05-04 |
| 1073142733 | Total Health and Recovery Clinic, LLC | Family Medicine | 1824 Murdoch Ave Bldg F Suite201, Parkersburg, WV 26101-3230 | 2020-04-05 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
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| City | RAVENSWOOD |
| Zip Code | 26164 |
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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.