DR. BARRY C BLACKSTON


Address: 8 Memorial Medical Ct, Ste 4, Greenville, SC 29605-4400
Phone: 8642425678

DR. BARRY C BLACKSTON (NPI# 1316948185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316948185
Entity Type Individual
Full Name DR. BARRY C BLACKSTON
Credential M.D.
Practice Address 8 Memorial Medical Ct
Ste 4
Greenville
SC 29605-4400
Practice Telephone 8642425678
Practice Fax Number 8642425679
Mailing Telephone 8642425678
Mailing Fax Number 8642425679
Enumeration Date 2005-08-03
Last Update Date 2017-09-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 16698 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP3048 05

Office Location

Street Address 8 MEMORIAL MEDICAL CT
STE 4
City GREENVILLE
State SC
Zip Code 29605-4400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144657891 John E Carey Md Pa Specialist 8 Memorial Medical Ct, St 4, Greenville, SC 29605-4449 2013-09-26
1447406095 Allison Murray Young Pathology 8 Memorial Medical Ct, Suite 1, Greenville, SC 29605-4449 2008-08-14
1093912859 Robert Allen Farrar Jr. Pathology 8 Memorial Medical Ct, Suite 1, Greenville, SC 29605-4449 2007-06-27
1598976987 James William Fulcher Pathology 8 Memorial Medical Ct, Greenville, SC 29605-4449 2007-05-25
1780893719 Christopher M Simons Pathology 8 Memorial Medical Ct, Greenville, SC 29605-4449 2007-05-22
1184831299 William A Kanner Pathology 8 Memorial Medical Ct, Suite 1, Greenville, SC 29605-4449 2007-05-17
1730214925 St Francis Physician Services Inc Surgery 8 Memorial Medical Ct, Greenville, SC 29605-4449 2007-02-21
1740337567 Jennifer Knight Pathology 8 Memorial Medical Ct, Suite 1, Greenville, SC 29605-4449 2007-01-04
1194777086 Elizabeth Mohler Bailey Pathology 8 Memorial Medical Ct, Suite 1, Greenville, SC 29605-4455 2006-05-17
1689626459 William Francis Flanagan Urology 8 Memorial Medical Ct, Ste.6, Greenville, SC 29605-4455 2006-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205306099 Prisma Health University Medical Group Family Medicine 110 Osage Drive, Greenville, SC 29605 2018-12-05
1306325626 Lauren Foster Fiscus Occupational Therapist 1900 Augusta Street, Suite 2500, Greenville, SC 29605 2018-08-08
1063914372 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1720 Augusta St, Greenville, SC 29605 2018-03-02
1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
1134658420 Trace Christopher Deighan Obstetrics & Gynecology 890 West Faris Road, Suite 470, Greenville, SC 29605 2017-06-08
1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
1205286895 Med-trans Corporation Ambulance 552 Perimeter Rd, Greenville, SC 29605 2016-06-15
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043868789 Hopewell Medical Care LLC Internal Medicine 2090 Woodruff Rd, Greenville, SC 29607-5939 2019-08-27
1346726924 St. Francis Physician Services, Inc Internal Medicine 5 Hoke Smith Blvd, Greenville, SC 29615 2018-07-17
1689193237 Gim Barry Blackston, Md, Pa Internal Medicine 8 Memorial Medical Ct Ste 4, Greenville, SC 29605-4400 2017-09-14
1003357948 Keith Freeman Internal Medicine 10 Enterprise Blvd Ste 110, Greenville, SC 29615-3534 2017-03-11
1871945204 Annum Faisal Internal Medicine 2100 Stantonsburg Rd Ofc, Greenville, NC 27834-2818 2016-07-11
1508284324 Lusana Ahsan Internal Medicine 2100 Stantonsburg Rd Ste 1ad200, Greenville, NC 27834-2818 2014-03-29
1548604341 William M Wooten Internal Medicine 2400 Stantonsburg Rd, Greenville, NC 27834-7210 2013-04-23
1356699904 Mohammad Raihan Azad Internal Medicine 1006 Wh Smith Blvd., Physicians East - Endocrinology, Greenville, NC 27834 2012-08-29
1104185420 Geoffrey P Little Internal Medicine 20 Bryants Sq, Apt/suite, Greenville, NY 12083-3413 2012-05-07
1053679530 Matthew Earles Dauterive Internal Medicine 600 Moye Blvd Ste 3e149, Greenville, NC 27834-4300 2012-05-02
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Competitor

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City GREENVILLE
Zip Code 29605

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Dataset Information

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.

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