ALLEN BLACKMAN (NPI# 1568559599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568559599 |
| Entity Type | Individual |
| Full Name | ALLEN BLACKMAN |
| Credential | PA-C |
| Practice Address |
700 E Beardsley Ave Elkhart IN 46514-3366 |
| Mailing Address |
Po Box 404480 Atlanta GA 30384-4480 |
| Practice Telephone | 5742068010 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 E BEARDSLEY AVE |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912458662 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 700 E Beardsley Ave, Suite100, Elkhart, IN 46514-3366 | 2016-10-18 |
| 1942626635 | Kaitlin Putt | Speech-Language Pathologist | 700 E Beardsley Ave, Elkhart, IN 46514-3366 | 2014-03-05 |
| 1669740122 | Debra Diane Bender | Physical Therapy Assistant | 700 E Beardsley Ave, Suite 100, Elkhart, IN 46514-3366 | 2011-12-12 |
| 1003004524 | Christine Marie Cisneros | Neuromusculoskeletal Medicine & OMM | 700 E Beardsley Ave, Ste 100, Elkhart, IN 46514-3366 | 2007-10-10 |
| 1154445831 | Joseph E Fernando | Preventive Medicine | 700 E Beardsley Ave, Suite 100, Elkhart, IN 46514-3366 | 2007-03-19 |
| 1306911060 | Jill Huffman | Physical Therapy Assistant | 700 E Beardsley Ave, Ste 100, Elkhart, IN 46514-3366 | 2006-11-21 |
| 1043307937 | Kelli Becker | Physical Therapy Assistant | 700 E Beardsley Ave, Ste 100, Elkhart, IN 46514-3366 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033622709 | Sean Robert Horner | Physician Assistant | 600 East Blvd, Elkhart, IN 46514-2483 | 2017-11-15 |
| 1437312352 | Mariah Lefforge | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514-1957 | 2008-07-10 |
| 1962540096 | Barbara Taylor | Physician Assistant | 313 W Parker St, Elkhart, TX 75839-7612 | 2007-02-01 |
| 1891717047 | Marcy R Showalter | Physician Assistant | 3301 County Road 6 E, Elkhart, IN 46514 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019289 | Timothy Jeffirs | Physician Assistant | 10662 12th Rd, Argos, IN 46501-9551 | 2020-10-01 |
| 1093321788 | April Marie Przyborski | Physician Assistant | 1701 S Creasy Ln Ste 2j20, Lafayette, IN 47905-4972 | 2020-09-18 |
| 1124634936 | Brilyn Michelle Banister | Physician Assistant | 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 | 2020-09-17 |
| 1386290625 | Douglas R Day | Physician Assistant | 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 | 2019-08-13 |
| 1841851409 | Rachel Jagrowski | Physician Assistant | 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 | 2019-06-25 |
| 1366003154 | Jimmy Garala | Physician Assistant | 101 E 87th Ave Fl A3, Merrillville, IN 46410-7335 | 2019-06-24 |
| 1407311814 | William Peter Thompson | Physician Assistant | 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 | 2019-02-11 |
| 1669954475 | Erika Vanelle Marin | Physician Assistant | 2680 Escalade Way, Warsaw, IN 46582 | 2018-08-29 |
| 1225518228 | Jie Xu | Physician Assistant | 2072 E Commercial Ave, Lowell, IN 46356-2116 | 2018-08-19 |
| 1912492679 | Katherine Barrett Tenbarge | Physician Assistant | 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
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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.