MICHAEL JAMES BLACKSHEAR (NPI# 1366558868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366558868 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES BLACKSHEAR |
| Credential | R.T. |
| Practice Address |
2138 Stoney Brook Dr Deer Park TX 77536-4600 |
| Practice Telephone | 7137911414 |
| Mailing Telephone | 7137911414 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2138 STONEY BROOK DR |
| City | DEER PARK |
| State | TX |
| Zip Code | 77536-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965590 | Maria Conchita Fernandez Cuadrado | Physical Therapist | 3710 Center St Suite 102 Suite 102, Deer Park, TX 77536 | 2019-08-01 |
| 1013480961 | Eclipse Massage Therapy | Radiologic Technologist | 4321 Center St., Deer Park, TX 77536 | 2019-01-03 |
| 1952752750 | Denise Evelyn Bach | Nurse Practitioner | 5900 Highway 225 East, Shell Oil Company, Deer Park, TX 77536 | 2016-06-23 |
| 1194103739 | H-e-b, Lp | Clinical Medical Laboratory | 4701 East Blvd, Deer Park, TX 77536 | 2015-05-15 |
| 1053711408 | Leo Martinez I | Specialist/Technologist, Other | 602 Bayou Vista Dr, Deer Park, TX 77536 | 2014-09-03 |
| 1942588389 | Jacquetta Monae Davis | Dentist | 9001 Spencer Hwy Suite J, Deer Park, TX 77536 | 2011-08-03 |
| 1164745550 | Cenikor Foundation | Case Management | 4525 Glenwood Avenue, Deer Park, TX 77536 | 2010-03-12 |
| 1760670079 | Julia V Douglass Meadows | Counselor | 4650 Center Street, Deer Park, TX 77536 | 2007-10-11 |
| 1912035189 | Andrew Sparks Metz | Family Medicine | 2910 Center St., Deer Park, TX 77536 | 2007-03-01 |
| 1275690620 | Jack Quentin Cash Jr. | Dentist | 302 Center Street, Deer Park, TX 77536 | 2007-01-03 |
| Find all providers in zip 77536 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087049 | Alaa Mohamed | Radiologic Technologist | 8330 Lyndon B Johnson Fwy Ste B302, Dallas, TX 75243-1166 | 2020-03-04 |
| 1346882628 | 247 Mobile X-ray Services LLC | Radiologic Technologist | 10407 Shanley Landing Ct, Richmond, TX 77407-2727 | 2019-10-08 |
| 1205308707 | Dax Eli Wagner | Radiologic Technologist | 815 Hanks St, Lufkin, TX 75904-4961 | 2018-12-20 |
| 1578041828 | Sarah Nichole Northcutt | Radiologic Technologist | 12517 Nicholas Pl, Rhome, TX 76078-6064 | 2018-07-30 |
| 1649779448 | Rafael Rodriguez | Radiologic Technologist | 11365 Montwood Dr Ste A, El Paso, TX 79936-3867 | 2018-02-07 |
| 1568997559 | Gregory Abdullah | Radiologic Technologist | 134 E Mistletoe Ave, San Antonio, TX 78212-3407 | 2017-04-27 |
| 1093261604 | Julio Alcala | Radiologic Technologist | 10291 Pellicano Suite 102, El Paso, TX 79935 | 2016-09-01 |
| 1700339959 | Nina Tokpawhiea | Radiologic Technologist | 9900 Adleta Blvd Apt 711, Dallas, TX 75243-9211 | 2016-07-24 |
| 1780058032 | Daniel Benard Suniga | Radiologic Technologist | 2250 Holly Hall St Apt 345, Houston, TX 77054-3941 | 2015-11-24 |
| 1104292119 | William Lewis Snyder Jr. | Radiologic Technologist | 551 Renee Ln, Desoto, TX 75115-5161 | 2015-08-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHAEL JAMES BLACKSHEAR.
| 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.