DARRELL KEVIN BLACKWELL (NPI# 1710079819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710079819 |
| Entity Type | Individual |
| Full Name | DARRELL KEVIN BLACKWELL |
| Credential | DO |
| Practice Address |
1490 Park Ave Nw Suite 5 Norton VA 24273-1631 |
| Practice Telephone | 2764391440 |
| Practice Fax Number | 2764391441 |
| Mailing Telephone | 2764391440 |
| Mailing Fax Number | 2764391441 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0102050073 | VA | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
0102050073 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1710079819 | 05 |
| Street Address |
1490 PARK AVE NW SUITE 5 |
| City | NORTON |
| State | VA |
| Zip Code | 24273-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740257831 | Matthew W. Cusano | Internal Medicine | 1490 Park Ave Nw, Suite 3, Norton, VA 24273-1631 | 2006-03-07 |
| 1023372232 | Brian Scott Newberry | Internal Medicine | 1490 Park Ave Nw, Suite 3, Norton, VA 24273-1631 | 2012-07-02 |
| 1366679086 | Catherine Renee Lewis | Surgery | 1490 Park Ave Nw, Suite 4b, Norton, VA 24273-1631 | 2009-06-20 |
| 1366536237 | Bernie Norman Sergent | Internal Medicine | 1490 Park Ave Nw, Suite 3, Norton, VA 24273-1631 | 2006-10-03 |
| 1063523454 | Vada Alberta Rose | Nurse Practitioner | 1490 Park Ave Nw, Suite 3, Norton, VA 24273-1631 | 2006-08-31 |
| 1154399947 | Emory Allen Mullins | Internal Medicine | 1490 Park Ave Nw, Suite 3, Norton, VA 24273-1631 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| 1528696440 | Kristi Matthews | Occupational Therapist | 22 10th St Nw, Norton, VA 24273 | 2020-03-27 |
| 1851929772 | Julie Ann Hoffer Mullins | Physical Therapist | 22 10th Street N.w., Norton, VA 24273 | 2020-03-27 |
| 1053839977 | Vijay Kumar PC | Family Medicine | 610 Park Avenue Nw, Norton, VA 24273 | 2017-08-30 |
| 1407376312 | Jacob A Nysather | Internal Medicine | 100 15th Street, N.w., Norton, VA 24273 | 2017-06-21 |
| 1154854248 | Family Preservation Services, Inc | Community/Behavioral Health | 5338 Esserville Road, Norton, VA 24273 | 2017-04-06 |
| 1245771757 | Blue Ridge Medical Management Corporation | Internal Medicine | 1410 Park Ave Nw, Norton, VA 24273 | 2017-03-16 |
| 1821548413 | William Luke Alls | Internal Medicine | 96 15th St., Suite 106, Norton, VA 24273 | 2016-10-07 |
| 1073978383 | Stephen Souther | Counselor | 515 Park Avenue Sw, Norton, VA 24273 | 2015-12-31 |
| 1306251889 | Rafaqat Rashid | Internal Medicine | 100 15th Street N.w, Norton Community Hospital, Internal Medicine Residency, Norton, VA 24273 | 2014-06-24 |
| Find all providers in zip 24273 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326402116 | Che Monte Torry | Family Medicine | 739 Thimble Shoals Blvd Ste 1008, Newport News, VA 23606-3585 | 2016-04-08 |
| 1063802890 | Ferrum College | Family Medicine | 590 Ferrum Mountain Rd, Hank Norton Center, Ferrum, VA 24088 | 2015-02-02 |
| 1013174523 | Kinjal Sohagia | Family Medicine | 732 Thimble Shoals Blvd Ste 803, Newport News, VA 23606-4218 | 2008-05-21 |
| 1396932323 | Wellnessmd @ Acac LLC | Family Medicine | 406 Albemarle Sq, Charlottesville, VA 22901-1472 | 2007-10-03 |
| 1528261674 | Jason Mchugh | Family Medicine | 2613 Taylor Rd Ste 100, Chesapeake, VA 23321-2246 | 2007-06-07 |
| 1073554713 | Teresa Maria Camden | Family Medicine | 5211 W Broad St, 101, Richmond, VA 23230-3009 | 2006-06-10 |
| 1548237993 | Delmas J Bolin | Family Medicine | 25 W Calhoun St, Salem, VA 24153-3836 | 2006-03-03 |
| 1689296360 | Liberty University, Inc | Family Medicine | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2020-05-15 |
| 1245709088 | Access Healthcare Multi-specialty Group, Pllc | Family Medicine | 2103 Graves Mill Rd, Forest, VA 24551-2675 | 2018-11-23 |
| 1124556352 | Bluefield College | Family Medicine | 3000 College Ave, Bluefield, VA 24605-2050 | 2017-06-01 |
| 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.