MARK R BLACKWOOD (NPI# 1376599217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376599217 |
| Entity Type | Individual |
| Full Name | MARK R BLACKWOOD |
| Credential | MD |
| Practice Address |
36 Madbury Rd Durham NH 03824-2021 |
| Mailing Address |
789 Central Ave Dover NH 03820-2526 |
| Practice Telephone | 6038685080 |
| Practice Fax Number | 6038687440 |
| Mailing Telephone | 6038685080 |
| Mailing Fax Number | 6038687440 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2014-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 8732 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3075907 | 05 | |
| ME | 1376599217 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558456764 | Mark Edward Blackwood | Obstetrics & Gynecology | 801 First St, Cleveland, MS 38732 | 2006-10-04 |
| Street Address |
36 MADBURY RD |
| City | DURHAM |
| State | NH |
| Zip Code | 03824-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043266059 | Kenneth Shuman | Family Medicine | 36 Madbury Rd, Durham, NH 03824-2021 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699170191 | Allegiant Physical Therapy LLC | Physical Therapist | 7b Mill Road, Durahm, NH 03824 | 2014-10-27 |
| 1639443872 | Joan Hastings Glutting | Psychologist | 8 Palmer Drive, Durham, NH 03824 | 2012-03-06 |
| 1851598197 | Kate Elizabeth Stimmell | Occupational Therapist | 312 Morrill Hall, 180 Main Street, University of New Hampshire, Durham, NH 03824 | 2007-06-29 |
| 1366659443 | C. Patricia Hanley | Psychologist | 13 Jenkins Ct #230 A, Durham, NH 03824 | 2007-05-17 |
| 1245445642 | Oyster River Cooperative School District | Local Education Agency (LEA) | 36 Coe Drive, Durham, NH 03824 | 2007-05-11 |
| 1477765956 | Randal George Heller | Pharmacist | 170 Tolend Rd., Barrington, NH 03824 | 2007-05-04 |
| 1073652228 | Carollyn Federico | Social Worker | 20 Madbury Road, Durham, NH 03824 | 2007-02-05 |
| 1568513976 | Suellen O Drake | Nurse Practitioner | 13 Jenkins Ct Ste 247, Durham, NH 03824 | 2007-01-13 |
| 1265531537 | Maxi Drug North Inc | Durable Medical Equipment & Medical Supplies | 5 Mill Road, Unit G, Durham, NH 03824 | 2006-09-22 |
| 1003911082 | Wesley A Merritt | Chiropractor | 13 Jenkins Ct, Durham, NH 03824 | 2006-09-14 |
| Find all providers in zip 03824 | ||||
| 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 |
|---|---|---|---|---|
| 1750923215 | Carolina Health Clinic | Family Medicine | 2634 Durham Chapel Hill Blvd Ste 216, Durham, NC 27707-2800 | 2019-10-16 |
| 1235789215 | Rachel Cahoon Gray | Family Medicine | 3601 Grouse Ct, Durham, NC 27704-2488 | 2019-09-12 |
| 1285108209 | Tywana Donaldson | Family Medicine | 30 Medicine Circle, Durham, NC 27710-3038 | 2019-01-12 |
| 1396247839 | Better Life Family Center | Family Medicine | 308 S Woodcrest St Apt 5, Durham, NC 27703-3374 | 2018-02-28 |
| 1306378005 | Southpoint Family Medicine, Pllc | Family Medicine | 1515 W Nc Highway 54 Ste 130, Durham, NC 27707-5575 | 2017-03-31 |
| 1174068803 | Theodore Bruno | Family Medicine | 12 Pleasant Ter, Durham, CT 06422-2305 | 2017-01-04 |
| 1588018550 | Asiyah Zahra Mikell | Family Medicine | 516 Tall Oaks Dr, Durham, NC 27713-9358 | 2016-04-15 |
| 1114380797 | Alexa Maureen Mieses Malchuk | Family Medicine | 3708 Mayfair St., Suite 100, Durham, NC 27707 | 2016-04-01 |
| 1730593898 | Senait Fremichael Efrem | Family Medicine | 1821 Hillandale Rd Ste 24b, Durham, NC 27705-2671 | 2014-06-17 |
| 1699187963 | James Barlow | Family Medicine | 7 Mill Road Plz # C, Durham, NH 03824-3047 | 2014-05-21 |
| Find all providers in DURHAM | ||||
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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.