MEGAN BLACKBURN (NPI# 1457334450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457334450 |
| Entity Type | Individual |
| Full Name | MEGAN BLACKBURN |
| Credential | MD |
| Practice Address |
525 S Watson Rd Ste 200 Buckeye AZ 85326 |
| Mailing Address |
525 S Watson Rd Ste 200 Buckeye AZ 85326-3451 |
| Practice Telephone | 6027268750 |
| Practice Fax Number | 6239250745 |
| Mailing Telephone | 6027268750 |
| Mailing Fax Number | 6239250745 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32492 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE RR | P00351239 | 01 |
| AZ | 975526 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678212 | Megan Blackburn | Speech-Language Pathologist | 4281 St Theresa Blvd, Avon, OH 44011-2850 | 2020-01-08 |
| 1043677099 | Megan Blackburn | Specialist/Technologist | 5022 Arbutus Rd, Rockford, IL 61107-2402 | 2016-01-21 |
| 1023432093 | Megan Noel Blackburn | Physician Assistant | 1500 Grand Central Ave Ste 115, Parkersburg, WV 26105-1079 | 2014-02-12 |
| 1154932580 | Megan Christine Blackburn | Pharmacist | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-08-10 |
| Street Address |
525 S WATSON RD STE 200 |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225481740 | Alec Pramhus | Family Medicine | 525 S Watson Rd Ste 200, Buckeye, AZ 85326-3451 | 2016-07-20 |
| 1598885170 | Corie S Kelly | Physician Assistant | 525 S Watson Rd Ste 200, Buckeye, AZ 85326-3451 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609225 | Dawn Vetro | Social Worker | 26428 Mc 85, Buckeye, AZ 85326 | 2020-05-06 |
| 1952959942 | Nicole Garcia | Physical Therapy Assistant | 19818 Mc 85, Buckeye, AZ 85326 | 2019-09-03 |
| 1790269256 | Pathbuilders Counseling Services, Inc | Marriage & Family Therapist | 1300 N. Miller Road, Buckeye, AZ 85326 | 2018-09-20 |
| 1912422924 | City of Buckeye | Emergency Medical Technician, Paramedic | 21699 W. Yuma Rd., Ste. 101, Buckeye, AZ 85326 | 2017-08-10 |
| 1548785884 | Az Comfort Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23832 W Tonto Street, Buckeye, AZ 85326 | 2017-08-08 |
| 1992227300 | Elias Linn IIi | Pharmacist | 1060 S. Watson Rd, Buckeye, AZ 85326 | 2017-07-07 |
| 1568903490 | Nicole Johnson | Nurse Practitioner | 26700 Az-85, Buckeye, AZ 85326 | 2017-03-10 |
| 1235675950 | Michael Coronado | Specialist/Technologist | 19584 W Lincoln St, Buckeye, AZ 85326 | 2017-01-19 |
| 1578914354 | Thrive Home Health Care LLC | Health Maintenance Organization | 25581 W. Pleasant Ln., Buckeye, AZ 85326 | 2016-06-23 |
| 1992187124 | Anita Morgan | Social Worker | 389 S 228th Lane, Buckeye, AZ 85326 | 2015-06-24 |
| Find all providers in zip 85326 | ||||
| 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 |
|---|---|---|---|---|
| 1487114054 | Jennifer Sue Heeter | Family Medicine | 23867 W Hidalgo Ave, Buckeye, AZ 85326-7008 | 2019-03-21 |
| 1063702934 | 1st Care Family Medicine, LLC | Family Medicine | 1300 S Watson Rd Ste 104, Buckeye, AZ 85326-6264 | 2011-04-13 |
| 1215963806 | Luis E Soriano | Family Medicine | Duncan Road, Buckeye, WV 24924 | 2006-06-24 |
| 1992779250 | Matthew Duke | Family Medicine | 1209 N Miller Rd, Buckeye, AZ 85326-1043 | 2006-02-14 |
| 1356345086 | John F Konings | Family Medicine | 306 E Monroe Ave, Buckeye, AZ 85326-2706 | 2005-06-10 |
| 1518437268 | Teledoctors of America LLC | Family Medicine | 25234 W Darrel Dr, Buckeye, AZ 85326-2554 | 2018-11-26 |
| 1225481740 | Alec Pramhus | Family Medicine | 525 S Watson Rd Ste 200, Buckeye, AZ 85326-3451 | 2016-07-20 |
| 1942527858 | Alan Robert Thorne | Family Medicine | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2010-05-02 |
| 1578716247 | Neal W Rehberg | Family Medicine | 150 Duncan Rd, Buckeye, WV 24924-9037 | 2008-10-28 |
| 1760699888 | Sultan Mohammad | Family Medicine | 1300 S Watson Rd, Ste 104, Buckeye, AZ 85326-6303 | 2007-05-17 |
| Find all providers in BUCKEYE | ||||
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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.