DR. JOHN ROBERTS BLACKBURN (NPI# 1396741575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396741575 |
Entity Type | Individual |
Full Name | DR. JOHN ROBERTS BLACKBURN |
Credential | MD |
Practice Address |
719 W Coke Rd Ste 2 Winnsboro TX 75494-3060 |
Practice Telephone | 9033428000 |
Practice Fax Number | 9033426422 |
Mailing Telephone | 9033428000 |
Mailing Fax Number | 9033426422 |
Enumeration Date | 2005-06-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | E4208 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700417490 | John Donald Blackburn II | Specialist/Technologist | 1995 Thunder Rd, Eagle Lake, FL 33839-3086 | 2020-01-31 |
1164490801 | John Stephen Blackburn | Nurse Anesthetist, Certified Registered | 7210g Broad River Rd, Irmo, SC 29063-7972 | 2006-03-09 |
1841511037 | John W Blackburn | Anesthesiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2010-06-22 |
1215168604 | John C Blackburn | Counselor | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2009-08-03 |
1891970901 | John D. Blackburn | Physical Therapist | 500 Porter Ave, Aurora, MO 65605-2365 | 2008-01-08 |
1093777864 | John Devin Blackburn | Optometrist | 7409 N Cedar Ave, #103, Fresno, CA 93720-3836 | 2006-04-05 |
Street Address |
719 W COKE RD STE 2 |
City | WINNSBORO |
State | TX |
Zip Code | 75494-3060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598300147 | Kim Utley | Physical Therapy Assistant | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2019-11-07 |
1477027142 | Kandice Hand | Physical Therapy Assistant | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2019-01-16 |
1033626643 | Ashley Elizabeth Hammons | Nurse Practitioner | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2018-01-04 |
1912386467 | Timothy Lyons | Physical Therapist | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2015-05-28 |
1326434507 | Dr. Bart Pruitt, Pllc | Clinic/Center | 719 W Coke Rd, Mob 2, Winnsboro, TX 75494-3060 | 2015-04-14 |
1700282357 | Rocky Mountain Holdings, LLC | Ambulance | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2014-11-10 |
1750797536 | June E Beamer Md Pllc | Dermatology | 719 W Coke Rd, Bldg 3, Suite 3, Winnsboro, TX 75494-3011 | 2014-07-01 |
1134539034 | Roxanne Swafford | Nurse Practitioner | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2014-04-30 |
1194151423 | Tina Gayle Hanner | Nurse Practitioner | 719 W Coke Rd, Bldg. 4, Ste 6, Winnsboro, TX 75494-3011 | 2013-09-18 |
1205273802 | Joseph Richard Pelli Jr. | Emergency Medicine | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2013-05-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003392317 | Cordelia Carrington Lovett | Physical Therapist | Rehab Solutions, 406 S Main Street, Winnsboro, TX 75494 | 2018-07-19 |
1679972483 | Whispering Pines Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 910 S Beech Street, Winnsboro, TX 75494 | 2014-08-18 |
1023438330 | Trinity Nursing and Rehabilitation of Winnsboro, Lp | Skilled Nursing Facility | 502 East Coke Road, Winnsboro, TX 75494 | 2014-04-25 |
1467776831 | Autumn Wind | Assisted Living Facility | 1004 E. Coke Rd, Winnsboro, TX 75494 | 2010-03-15 |
1427117357 | Henry Frank Cannaday | Dentist | 505 South Mill Street, Winnsboro, TX 75494 | 2006-12-06 |
1952486102 | Jerry D Houchin | Internal Medicine | 877 Sw County Rd 3250, Winnsboro, TX 75494 | 2006-10-26 |
1871678425 | Lila G Sparkman | Counselor | 101 North Main St Suite 209, Winnsboro, TX 75494 | 2006-10-25 |
1801811534 | Theodore Knox Gregory II | Nurse Anesthetist, Certified Registered | 719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | 2006-07-13 |
1124013644 | Kathy G. Smedley | Counselor | 403 N Post Oak, Winnsboro, TX 75494 | 2005-09-12 |
1861493694 | Justin Clive Perish | Chiropractor | 821 South Main Street, Suite 100, Winnsboro, TX 75494 | 2005-08-02 |
Find all providers in zip 75494 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164730917 | Jed Robinson | Urology | 2106 Loop Rd Ste B, Winnsboro, LA 71295-3343 | 2010-09-15 |
1184745010 | Jay Busby | Urology | 2106 Loop Rd, Suite B, Winnsboro, LA 71295-3342 | 2007-04-02 |
1083795611 | Jay Busby Md A Professional Corporation | Urology | 2106 Loop Rd, Suite B, Winnsboro, LA 71295 | 2006-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
1649780453 | Paul Bradley Md Pllc | Urology | 703 E Marshall Ave Ste 4009, Longview, TX 75601-5500 | 2017-10-06 |
1154857977 | Darren M. Chapman M.d., Pllc | Urology | 10970 Shadow Creek Pkwy # 255, Pearland, TX 77584-0100 | 2017-05-11 |
1114308467 | Kashyap Shatagopam | Urology | 1900 Scenic Dr Ste 2222, Georgetown, TX 78626-7703 | 2015-06-12 |
1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
1023401510 | Robert A Bloom Md Pllc | Urology | 416 S. Henderson St., Fort Worth, TX 76104 | 2015-03-09 |
1366853152 | Lawrence Tsai | Urology | 12319 N Mopac Expy Ste 200, Austin, TX 78758-2497 | 2014-05-14 |
1558780031 | Rachel Sosland | Urology | 4207 James Casey St Ste 107, Austin, TX 78745-1192 | 2014-04-10 |
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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.