JAMES L BLACKWELL (NPI# 1376711945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376711945 |
| Entity Type | Individual |
| Full Name | JAMES L BLACKWELL |
| Credential | DO |
| Practice Address |
3016 Great Teays Blvd Scott Depot WV 25560-9552 |
| Mailing Address |
301 Great Teays Blvd Ste 6 Scott Depot WV 25560-9552 |
| Practice Telephone | 3047576999 |
| Practice Fax Number | 3047573252 |
| Mailing Telephone | 3047576999 |
| Mailing Fax Number | 3047573252 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2010-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1090 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0041093000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255424289 | James A. Blackwell | Internal Medicine | 154 Arapaho Cir, San Ramon, CA 94583-2498 | 2006-10-02 |
| 1528061140 | James Edward Blackwell | Radiology | 1906 Belleview, Roanoke, VA 24033 | 2005-05-27 |
| 1114446671 | James Luke Blackwell | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2017-09-15 |
| 1720531577 | James Madison Blackwell | Physical Therapist | 3480 Keith Bridge Rd, Ste C2, Cumming, GA 30041-5568 | 2016-07-28 |
| 1215023932 | James T Blackwell | Pediatrics | 5515 W 38th St, Indianapolis, IN 46254-2919 | 2006-10-04 |
| 1871516997 | James Blackwell | Internal Medicine | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2006-07-26 |
| 1659337319 | James T Blackwell | Physician Assistant | 450 North St, Bamberg, SC 29003-1318 | 2006-04-21 |
| 1427036672 | James Blackwell | Nurse Practitioner | 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 | 2006-01-06 |
| 1770572224 | James Britt Blackwell | Optometrist | 1268 Ebenezer Rd, Rock Hill, SC 29732-2341 | 2005-10-18 |
| 1063410694 | James C Blackwell | Internal Medicine | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2005-07-08 |
| Street Address |
3016 GREAT TEAYS BLVD |
| City | SCOTT DEPOT |
| State | WV |
| Zip Code | 25560-9552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588683767 | Kim D Lopes | Advanced Practice Midwife | 3016 Great Teays Blvd, Scott Depot, WV 25560 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891297248 | Nutrisense Nutrition Consulting, LLC | Dietitian, Registered | 18 Meadow Lane, Scott Depot, WV 25560 | 2018-03-01 |
| 1508224916 | Stephanie Leigh Bowman | Nurse Practitioner | 95 Heidi Way, Scott Depot, WV 25560 | 2016-02-01 |
| 1457798266 | Jodi H Biller | Nurse Practitioner | 300 Corporate Center Dr., Scott Depot, WV 25560 | 2013-06-03 |
| 1730427469 | Teays Valley Volunteer Fire Department, Inc | Ambulance | 105 Popular Fork Rd, Scott Depot, WV 25560 | 2013-01-31 |
| 1073862991 | Scott A Cyrus | Pharmacist | 201 Teays Ctr Kroger 02900784, Scott Depot, WV 25560 | 2012-09-06 |
| 1578625596 | Harold Alan Morris | Dentist | Carls Lane, Scott Depot, WV 25560 | 2006-12-15 |
| 1457427429 | Martha Cook Carter | Registered Nurse | 301 6 Great Teays Blvd, Scott Depot, WV 25560 | 2006-11-28 |
| 1649360827 | Jan Byrnside Frame | Registered Nurse | 21 Thoroughbred Rd, Scott Depot, WV 25560 | 2006-10-16 |
| 1639271836 | Laberta S Salamacha | Counselor | 4031 Teays Valley Road, Scott Depot, WV 25560 | 2006-09-01 |
| 1619955960 | Luis A Bracero | Obstetrics & Gynecology | 301-6 Great Teays Blvd, Scott Depot, WV 25560 | 2006-01-06 |
| Find all providers in zip 25560 | ||||
| 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 |
|---|---|---|---|---|
| 1225017874 | Mary Buffington Jenkins | Family Medicine | 97 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9816 | 2006-01-12 |
| 1801000633 | Christina D Webb | Family Medicine | 97 Great Teays Blvd, Ste 6, Scott Depot, WV 25560-9815 | 2007-05-10 |
| 1366546947 | Charles Bukovinsky | Family Medicine | 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560-9815 | 2006-09-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SCOTT DEPOT |
| Zip Code | 25560 |
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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.