DR. EARNEST HOWARD-RUDOLPH BLACKSHEAR JR. (NPI# 1386883932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386883932 |
| Entity Type | Individual |
| Full Name | DR. EARNEST HOWARD-RUDOLPH BLACKSHEAR JR. |
| Credential | PH.D. |
| Practice Address |
2400 Hospital Road, Bldg. 4a-233 Central Alabama Veterans Health Care System Tuskegee AL 36083-5001 |
| Mailing Address |
Cavhcs, 2400 Hospital Road Bldg. 4a-233 Tuskegee AL 36083 |
| Practice Telephone | 3347270550 |
| Practice Fax Number | 3347253262 |
| Mailing Telephone | 3347270550 |
| Mailing Fax Number | 3347253262 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0000 | AL | Behavioral Health & Social Service Providers |
| Street Address |
2400 HOSPITAL ROAD, BLDG. 4A-233 CENTRAL ALABAMA VETERANS HEALTH CARE SYSTEM |
| City | TUSKEGEE |
| State | AL |
| Zip Code | 36083-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972698587 | Nguyet H Smith | Pharmacist | Central Alabama Veterans Health Care System, Pharmacy, 2400 Hospital Road, Tuskegee, AL 36083 | 2006-10-03 |
| 1619908795 | Carmen Elizabeth Beverly | Podiatrist | Cavhcs 2400 Hospital Rd, Dm Clinic, Tuskegee, AL 36083 | 2006-07-06 |
| 1275564635 | Tim Landers | Audiologist | 2400 Hospital Rd., Cavhcs - 126, Tuskegee, AL 36083 | 2006-07-05 |
| 1790726867 | Lasan Davis | Family Medicine | 203 West Lee Street, Tuskegee, AL 36083 | 2006-06-09 |
| 1831144344 | Denise Free Lensgraf-landers | Audiologist | Cavhcs Audiology (117), 2400 Hospital Road, Tuskegee, AL 36083 | 2006-05-23 |
| 1396705836 | Mark Patrick Mcguire | Optometrist | 2400 Hosptial Road, Eye Clinic Cavhcs, Tuskegee, AL 36083 | 2006-03-27 |
| 1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
| 1265775936 | Shari Smith | Social Worker | 2400 Hospital Rd., Cavhcs- Social Work Services, Tuskegee, AL 36083 | 2013-04-01 |
| 1689902710 | Penny M Genous | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-12-01 |
| 1194954255 | Kevin Mcbeth Johnson | Student in an Organized Health Care Education/Training Program | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-07-10 |
| Find all providers in zip 36083 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952297 | John Thomas Patrick | Psychologist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-04-30 |
| 1629326889 | Zofia Anna Wilamowska | Psychologist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2012-08-20 |
| 1972818391 | Elizabeth Allison Eckardt | Psychologist | 2400 Hospital Rd, Bldg 120w, Room 408, Tuskegee, AL 36083-5001 | 2010-08-10 |
| 1184776007 | Shawn L Clark | Psychologist | 2400 Hospital Rd, 123, Tuskegee, AL 36083-5001 | 2007-01-18 |
| 1316028418 | Laura W. Kelly | Psychologist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2006-10-17 |
| 1255438396 | Andrea Lynn Menyhert | Psychologist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2006-09-20 |
| 1902902778 | Stephen Arnold Sams | Psychologist | 2400 Hospital Road, Tuskegee, AL 36083-5001 | 2006-09-16 |
| 1033226360 | Robert A. Rose | Psychologist | Va Medical Center, 2400 Hospital Road, Tuskegee, AL 36083-5001 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050300 | Abby Pullen Clark | Psychologist | 801 Noble St Ste 400, Anniston, AL 36201-5698 | 2019-12-17 |
| 1720624380 | Cynthia Ann Neville | Psychologist | 203 17th St N, Bessemer, AL 35020-5726 | 2019-11-19 |
| 1457992588 | Teashia Adkins Goodwin | Psychologist | 500 Southland Dr Ste 155-f, Vestavia, AL 35226-3711 | 2019-09-30 |
| 1750941365 | Kristen Marie Smith | Psychologist | 3125 Independence Dr Ste 114, Birmingham, AL 35209-4163 | 2019-06-17 |
| 1952864225 | Parris Psychology | Psychologist | 1971 Appalachian Hwy, Hokes Bluff, AL 35903-4747 | 2019-04-12 |
| 1245791789 | Lori Lea Holth | Psychologist | 5820 Morris Ave, Gadsden, AL 35903-4831 | 2019-03-27 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1487139119 | Natalie Harrison | Psychologist | 400 Vestavia Pkwy Ste 101, Vestavia, AL 35216-3750 | 2018-09-28 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1508391467 | Eric Todd Bloch | Psychologist | 2061 County Road 430, Smiths Station, AL 36877 | 2017-04-27 |
| Find all providers with the same taxonomy | ||||
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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.