DR. JEFFREY ROBERT BLACKBURN


Address: 3324 Six Forks Rd, Raleigh, NC 27609-7233
Phone: 9197817772

DR. JEFFREY ROBERT BLACKBURN (NPI# 1396928966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396928966
Entity Type Individual
Full Name DR. JEFFREY ROBERT BLACKBURN
Credential MD
Practice Address 3324 Six Forks Rd
Raleigh
NC 27609-7233
Practice Telephone 9197817772
Practice Fax Number 9197876331
Mailing Telephone (919) 781-7772
Mailing Fax Number 9197876331
Enumeration Date 2007-12-06
Last Update Date 2017-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
2017-00606 NC Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
34767 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 347672 05

Other Providers JEFFREY BLACKBURN

NPI Name Taxonomy Address Enumeration
1063570679 Jeffrey Lee Blackburn Dentist 2500 East Jolly Road, Lansing, MI 48910 2006-12-05

Office Location

Street Address 3324 SIX FORKS RD
City RALEIGH
State NC
Zip Code 27609-7233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154320307 John Mark Englehardt Internal Medicine 3324 Six Forks Rd, Raleigh, NC 27609-7233 2005-07-19
1831500867 Wake Specialty Physicians, LLC Internal Medicine 3324 Six Forks Rd, Raleigh, NC 27609-7233 2014-05-13
1588968184 Wakemed Faculty Practice Plan Internal Medicine 3324 Six Forks Rd, Raleigh, NC 27609-7233 2010-12-23
1700104221 Dwijesh Bhupendrakumar Patel Internal Medicine 3324 Six Forks Rd, Raleigh, NC 27609 2010-05-07
1336130178 Carolina Cardiology Consultants, Pa Specialist 3324 Six Forks Rd, Raleigh, NC 27609-7233 2005-11-01
1437158508 William Jonathan Parsons Internal Medicine 3324 Six Forks Rd, Raleigh, NC 27609-7233 2005-07-20
1750380705 John Simpson Kelley Internal Medicine 3324 Six Forks Rd, Raleigh, NC 27609-7233 2005-07-20
1649279696 Willard Lee Kennedy Internal Medicine 3324 Six Forks Rd, Raleigh, NC 27609-7233 2005-07-20
1447259502 Jack Watson Noneman Internal Medicine 3324 Six Forks Rd, Raleigh, NC 27609-7233 2005-07-20
1497754659 George Lee Hamrick Jr. Internal Medicine 3324 Six Forks Rd, Raleigh, NC 27609-7233 2005-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184235582 Choice Service Solutions LLC In Home Supportive Care 5300 Six Fox Rd Siite205, Raleigh, NC 27609 2020-08-11
1003426073 Rosana Oba -rovira Registered Nurse 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 2020-08-05
1821612706 Helen Alexandra Bonner Physical Medicine & Rehabilitation Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 2020-06-05
1215423579 Appiah Nana Larbi Social Worker Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 2018-07-10
1215423777 Broadway Home Care LLC In Home Supportive Care 107 Windel Dr Ste 105, Raleigh, NC 27609 2018-07-09
1275027948 Lacey Allene Cottingham Social Worker 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 2018-06-18
1447748819 Integrated Dermatology of North Raleigh, Pllc Dermatology 3809 Computer Dr Ste 200, Raleigh, NC 27609 2018-05-01
1902325418 Naomi Christine Askew Nurse Practitioner 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 2017-09-15
1962929679 Alexia Montague Social Worker 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 2017-08-23
1730602236 Chantel Washington-mbuthia Counselor 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 2017-07-18
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841713187 Wake Specialty Physicians LLC Internal Medicine 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231 2017-07-19
1407919285 Angelo Milazzo Internal Medicine 3713 Benson Dr Ste 202, Raleigh, NC 27609-7372 2006-12-19
1639253529 James Wilson Peterson Internal Medicine 3320 Wake Forest Rd., Suite 200, Raleigh, NC 27609 2006-10-25
1821010067 Walter Tan Internal Medicine 3000 New Bern Ave Ste 1100, Wpp - Structural Heart, Raleigh, NC 27610-1231 2006-07-24
1164485033 Glenndale Moore Internal Medicine 2949 New Bern Ave, Suite 112-a, Raleigh, NC 27610-1248 2006-04-10
1881680098 Joseph Anthony Guzzo Internal Medicine 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7512 2005-09-22
1972508661 George Rayburn Cheely Internal Medicine 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 2005-06-17
1245235506 Sagir Ahmed Internal Medicine 3811 Ed Dr, Suite 130, Raleigh, NC 27612-2392 2005-06-14
1104480532 Wakemed Specialists Group, LLC Internal Medicine 3000 New Bern Ave, Raleigh, NC 27610-1231 2019-05-01
1720643174 Wakemed Specialists Group, LLC Internal Medicine 3000 New Bern Ave, Raleigh, NC 27610-1231 2019-05-01
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27609

Improve Information

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Dataset Information

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.

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