HOLLY AKIN BLANCO (NPI# 1598993172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598993172 |
| Entity Type | Individual |
| Full Name | HOLLY AKIN BLANCO |
| Credential | M.D. |
| Practice Address |
8288 S Broadway Ave Tyler TX 75703-5262 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9036067060 |
| Practice Fax Number | 9036067025 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | P2830 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE | 752616977028 | 01 |
| TX | TRICARE | 752616977118 | 01 |
| TX | 3030478801 | 05 | |
| TX | BCBS | 8DG294 | 01 |
| Street Address |
8288 S BROADWAY AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75703-5262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549246 | John Jason Page | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2005-06-24 |
| 1427449529 | Sonja Faye Tiller | Nurse Practitioner | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2015-02-10 |
| 1669765350 | Mary Kathryn Eagleton | Pediatrics | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2011-05-27 |
| 1487893525 | Gale Jeannie Hobson | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2009-02-12 |
| 1063661148 | Andrea M Ellis | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2008-09-15 |
| 1235275314 | Kurt Nielsen | Emergency Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2007-01-29 |
| 1194743278 | Roy Brent Wadle | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2006-07-17 |
| 1750344966 | Kimberly Eakin Wegener | Internal Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2006-04-10 |
| 1003881608 | John W Scroggins | Family Medicine | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2006-02-17 |
| 1952373987 | Catherine Zilinskas Giordano | Pediatrics | 8288 S Broadway Ave, Tyler, TX 75703-5262 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073842514 | St. Paul Children's Medical Corporation | Pediatrics | 1358 E Richards St, Tyler, TX 75702-6153 | 2009-12-11 |
| 1770791717 | Genevieve J.t. Blackwelder | Pediatrics | 6526 Ashmore Ln, Tyler, TX 75703-5896 | 2007-05-21 |
| 1407940547 | Jerri Kathleen Moore | Pediatrics | 1306 Doctors Drive, Tyler, TX 75701 | 2006-10-03 |
| 1356445647 | William D Rishel | Pediatrics | 1130 Doctors Dr, Tyler, TX 75701-2123 | 2006-09-08 |
| 1730299306 | Tiffany Hill | Pediatrics | 1000 E 5th St Ste 100, Tyler, TX 75701-3307 | 2006-08-30 |
| 1649201484 | Rachel Jean Osina Nichols | Pediatrics | 1350 E Richards St, Tyler, TX 75702-6153 | 2006-07-06 |
| 1639107675 | Andrew E Hoover | Pediatrics | 1000 Fifth Street, Tyler, TX 75701 | 2006-06-29 |
| 1356316681 | Jennifer A Steeger | Pediatrics | 305 W Rusk St, Tyler, TX 75701-1514 | 2006-02-21 |
| 1841265477 | James Rick Rogers | Pediatrics | 706 Turtle Creek, Tyler, TX 75701 | 2006-02-17 |
| 1912971813 | Wendell A Jones | Pediatrics | 2990 N Broadway, Tyler, TX 75702 | 2006-02-15 |
| Find all providers in TYLER | ||||
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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.