MRS. BETHANY BLACKETER (NPI# 1487764833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487764833 |
| Entity Type | Individual |
| Full Name | MRS. BETHANY BLACKETER |
| Credential | M.D. |
| Practice Address |
416 Spring St Paso Robles CA 93446-3161 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8052387250 |
| Practice Fax Number | 8052380165 |
| Mailing Telephone | 8053618028 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A69805 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A698050 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1140 Main St, Livingston, CA 953341257 | 2093947913 | 2093949093 |
| Street Address |
416 SPRING ST |
| City | PASO ROBLES |
| State | CA |
| Zip Code | 93446-3161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326013657 | Sigmund Physician Service, Inc. | Emergency Medicine | 416 Spring St, Suite 100, Paso Robles, CA 93446-3161 | 2006-02-21 |
| 1689128936 | Imgrx Slo Inc | Pharmacy | 416 Spring St, Paso Robles, CA 93446-3161 | 2016-08-03 |
| 1891038535 | Craig Joseph Brown | Family Medicine | 416 Spring St, 201, Paso Robles, CA 93446-3161 | 2013-04-01 |
| 1528300217 | Minh Hue Truong Riley | Social Worker | 416 Spring St, Paso Robles, CA 93446-3161 | 2013-03-21 |
| 1821376146 | Soquel L. Goodin | Nurse Practitioner | 416 Spring St, A, Paso Robles, CA 93446-3161 | 2011-08-03 |
| 1396904736 | Aaron Christopher-drain Collins | Family Medicine | 416 Spring St, Suite 201, Paso Robles, CA 93446-3161 | 2008-06-02 |
| 1972797637 | Deborah Ann Kronstad | Pediatrics | 416 Spring St, 201, Paso Robles, CA 93446-3161 | 2007-09-05 |
| 1215056361 | Maria Guadalupe Martinez | Marriage & Family Therapist | 416 Spring St, 201, Paso Robles, CA 93446-3161 | 2007-03-28 |
| 1801989371 | Laura Jill Herzberg | Pediatrics | 416 Spring St, Ste A, Paso Robles, CA 93446-3161 | 2006-10-02 |
| 1003910019 | James M Mcghee | Pediatrics | 416 Spring St, 201, Paso Robles, CA 93446-3161 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912401241 | Avery Acupuncture & Natural Medicine Inc. | Acupuncturist | 1704 Spring St, Suite 202, Paso Robles, CA 93446 | 2018-03-21 |
| 1326597022 | Jennifer Beck | Nutritionist | 110 Hanson Rd., Paso Robles, CA 93446 | 2016-09-23 |
| 1083063465 | Jennifer Owens | Speech-Language Pathologist | 2445 Elk Point, Paso Robles, CA 93446 | 2016-06-07 |
| 1548668478 | Cherie Lou Fajardo Lamson | Pharmacist | 2305 Theathre Dr, Target Pharmacy, Paso Robles, CA 93446 | 2014-12-09 |
| 1710322292 | Teri M Warkentin | Counselor | 423 Montebello Oaks Dr., Paso Robles, CA 93446 | 2013-05-09 |
| 1396087862 | San Luis Obispo County Drug and Alcohol Services | Clinic/Center | 2545 Spring St, Paso Robles, CA 93446 | 2013-03-22 |
| 1891046173 | Donald L Stanton | Dermatology | 3432 Las Tablas Willow Creek Rd., Paso Robles, CA 93446 | 2012-09-26 |
| 1942559778 | Jeffrey W Akins | Physical Therapist | 1345 Park Street, Paso Robles, CA 93446 | 2012-09-07 |
| 1669749883 | Ami Kendra Manwaring | Social Worker | 311 Sixth Street, Templeton, CA 93446 | 2011-11-17 |
| 1275812695 | Jared C Smith | Marriage & Family Therapist | 800 Niblick Road, Paso Robles, CA 93446 | 2011-08-16 |
| Find all providers in zip 93446 | ||||
| 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 |
|---|---|---|---|---|
| 1538420104 | First Choice Physician Partners | Family Medicine | 2727 Buena Vista Dr Ste 210, Paso Robles, CA 93446-8580 | 2012-05-31 |
| 1205994977 | Las Tablas Medical Group,inc | Family Medicine | 2120 Golden Hill Rd, Suite 102, Paso Robles, CA 93446-7047 | 2006-12-05 |
| 1689774556 | Michael D Silvas | Family Medicine | 1020 Vine St, Paso Robles, CA 93446-2559 | 2006-09-22 |
| 1497773675 | Bruce Philip Barnett | Family Medicine | 503 Red River Dr, Paso Robles, CA 93446-4080 | 2006-07-17 |
| 1104879956 | Amandeep Singh | Family Medicine | 345 Spring St, Ste# 101, Paso Robles, CA 93446-3168 | 2006-05-19 |
| 1396796215 | Joseph D Bettencourt | Family Medicine | 2120 Golden Hill Road, Suite 202, Paso Robles, CA 93446-0000 | 2006-05-15 |
| 1194712653 | Robert J Dingler | Family Medicine | 2004 Stella Ct, Paso Robles, CA 93446-6326 | 2005-09-30 |
| 1750377974 | Scott M Greaves | Family Medicine | 2120 Golden Hill, Suite102, Paso Robles, CA 93446-2120 | 2005-09-22 |
| 1164418703 | Family Medical Group | Family Medicine | 614 13th St, Paso Robles, CA 93446-2229 | 2005-09-20 |
| 1891038535 | Craig Joseph Brown | Family Medicine | 416 Spring St, 201, Paso Robles, CA 93446-3161 | 2013-04-01 |
| Find all providers in PASO ROBLES | ||||
| City | PASO ROBLES |
| Zip Code | 93446 |
Please comment or provide details below to improve the information on MRS. BETHANY BLACKETER.
| 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.