GIM BARRY BLACKSTON, MD, PA


Address: 8 Memorial Medical Ct Ste 4, Greenville, SC 29605-4400
Phone: (864) 242-5678

GIM BARRY BLACKSTON, MD, PA (NPI# 1689193237) 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) 1689193237
Entity Type Organization
Organization Name GIM BARRY BLACKSTON, MD, PA
Practice Address 8 Memorial Medical Ct Ste 4
Greenville
SC 29605-4400
Practice Telephone (864) 242-5678
Practice Fax Number 8642425679
Mailing Telephone 8642425678
Mailing Fax Number 8642425679
Enumeration Date 2017-09-14
Last Update Date 2017-09-14
Authorized Official Name DR. BARRY C BLACKSTON (DIRECTOR)
Authorized Official Telephone 8642425678
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 16698 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NPPES 1316948185 01

Office Location

Street Address 8 MEMORIAL MEDICAL CT STE 4
City GREENVILLE
State SC
Zip Code 29605-4400

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1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
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1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043868789 Hopewell Medical Care LLC Internal Medicine 2090 Woodruff Rd, Greenville, SC 29607-5939 2019-08-27
1346726924 St. Francis Physician Services, Inc Internal Medicine 5 Hoke Smith Blvd, Greenville, SC 29615 2018-07-17
1003357948 Keith Freeman Internal Medicine 10 Enterprise Blvd Ste 110, Greenville, SC 29615-3534 2017-03-11
1871945204 Annum Faisal Internal Medicine 2100 Stantonsburg Rd Ofc, Greenville, NC 27834-2818 2016-07-11
1508284324 Lusana Ahsan Internal Medicine 2100 Stantonsburg Rd Ste 1ad200, Greenville, NC 27834-2818 2014-03-29
1548604341 William M Wooten Internal Medicine 2400 Stantonsburg Rd, Greenville, NC 27834-7210 2013-04-23
1356699904 Mohammad Raihan Azad Internal Medicine 1006 Wh Smith Blvd., Physicians East - Endocrinology, Greenville, NC 27834 2012-08-29
1104185420 Geoffrey P Little Internal Medicine 20 Bryants Sq, Apt/suite, Greenville, NY 12083-3413 2012-05-07
1053679530 Matthew Earles Dauterive Internal Medicine 600 Moye Blvd Ste 3e149, Greenville, NC 27834-4300 2012-05-02
1598031643 Geriatric Medicine Consultants Pa Internal Medicine 3310 Breidablik Dr, Greenville, DE 19807-1925 2012-03-22
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City GREENVILLE
Zip Code 29605

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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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