SHELBY LARUE BLANK


Address: 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638
Phone: 8504312100

SHELBY LARUE BLANK (NPI# 1447299979) 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) 1447299979
Entity Type Individual
Full Name SHELBY LARUE BLANK
Credential MD
Practice Address 1401 Centerville Rd Ste G02
Tallahassee
FL 32308-4638
Practice Telephone 8504312100
Practice Fax Number 8504312199
Mailing Telephone 8504312100
Mailing Fax Number 8504312199
Enumeration Date 2006-06-06
Last Update Date 2018-03-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery ME95568 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1401 CENTERVILLE RD STE G02
City TALLAHASSEE
State FL
Zip Code 32308-4638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649892399 Tallahassee Memorial Healthcare Inc Dentist 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 2020-05-15
1578115630 Oladotun S. Olayiwola Nurse Practitioner 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 2019-07-09
1215433933 Carmen Colon Registered Nurse 1401 Centerville Rd Ste G02, Tallahassee, FL 32308 2018-04-02
1790283133 Tallahassee Memorial Healthcare Inc Surgery 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 2018-01-31
1861877094 Lee Hagan Barfield Nurse Practitioner 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 2015-07-29
1215370903 Raquel Ann Weston Surgery 1401 Centerville Rd Ste G02, Tallahassee, FL 32308 2013-04-11
1871738690 Kristina K Dupler Nurse Practitioner 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 2008-12-08
1689823619 Melissa Sioux Amundson Dentist 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 2008-09-15
1124192380 Darrell Lamont Hunt Surgery 1401 Centerville Rd Ste G02, Tallahassee, FL 32308 2006-11-20
1538261797 Eliot Bordine Sieloff Surgery 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 2006-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215588306 Jmc Tallahassee, LLC Preventive Medicine 1838 Jacliff Court, Tallahassee, FL 32308 2019-09-20
1972165108 Covenant Home Health Care, LLC Home Health 1921 Capital Circle Ne, Tallahassee, FL 32308 2019-07-09
1548735798 North Florida Rehab Solutions Hospitalist 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 2018-10-03
1013491596 Injury and Rehab Centers of North Florida, LLC Neuromusculoskeletal Medicine & OMM 2268 Wednesday Street, Tallahassee, Florida, FL 32308 2018-09-20
1487133625 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 2018-08-08
1629566724 Total Health & Wellness Home Care, LLC Home Health 1325 Mahan Dr., Tallahassee, FL 32308 2018-04-25
1669979480 Beth North, Lcsw, LLC Social Worker 1325 Mahan Drive, Tallahassee, FL 32308 2018-04-09
1750885919 Robert E Ashmore Jr Md Obstetrics & Gynecology 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 2018-03-22
1225547243 William Michael Kunkle Physician Assistant 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 2017-09-21
1235657834 Traci R Raybon Occupational Therapist 1924 Hidden Valley, Tallahassee, FL 32308 2017-09-03
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265792261 Brett Michael Howard Surgery 1405 Centerville Rd Ste 4400, Tallahassee, FL 32308-4622 2012-05-23
1033399423 John L Williams Surgery 4781 Williams Rd, Tallahassee, FL 32311-8523 2007-11-14
1023132024 Herbert B Rubin Surgery 1460 Marion Ave, Tallahassee, FL 32303-5829 2007-03-17
1235223686 Mahesh V Desai Surgery 3726 Wicklow Cir, Tallahassee, FL 32309-3216 2006-10-02
1306891239 Al E. Deeb Surgery 1630 N Plaza Dr, Tallahassee, FL 32308-5346 2006-05-22
1689634388 Wade G Douglas Surgery 1401 Centerville Road, Suite 100, Tallahassee, FL 32308-3656 2006-03-25
1063407104 John Neal Surgery 2910 Capital Medical Blvd, Tallahassee, FL 32308-4408 2005-09-14
1790283133 Tallahassee Memorial Healthcare Inc Surgery 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 2018-01-31
1174888549 Tallahassee Memorial Healthcare Inc Surgery 1401 Centerville Rd, Suite 100, Tallahassee, FL 32308-4647 2012-07-11
1972873354 Herbert B. Rubin, M.d., P.a. Surgery 1460 Marion Ave, Tallahassee, FL 32303-5829 2012-01-03
Find all providers in TALLAHASSEE

Competitor

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City TALLAHASSEE
Zip Code 32308

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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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