DR. JACOB COLMAN BLAKEMAN (NPI# 1760749261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760749261 |
| Entity Type | Individual |
| Full Name | DR. JACOB COLMAN BLAKEMAN |
| Credential | DPM |
| Practice Address |
506 S 6th St Leesville LA 71446-4482 |
| Mailing Address |
172 Lonesome Hill Rd Leesville LA 71446-6231 |
| Practice Telephone | 3372390989 |
| Practice Fax Number | 3372390987 |
| Mailing Telephone | 2177177836 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2015-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
300191 | LA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
506 S 6TH ST |
| City | LEESVILLE |
| State | LA |
| Zip Code | 71446-4482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708499 | Leesville Diagnostic Center Lp | Clinical Medical Laboratory | 506 S 6th St, Ste C, Leesville, LA 71446-4442 | 2005-05-27 |
| 1437791118 | Sherri Earlene Bennett | Nurse Practitioner | 506 S 6th St, Leesville, LA 71446-4482 | 2019-10-14 |
| 1871065516 | Clhg-leesville, LLC | Clinic/Center | 506 S 6th St, Leesville, LA 71446-4482 | 2018-12-19 |
| 1417371279 | East State Mht LLC | Family Medicine | 506 S 6th St, Leesville, LA 71446-4482 | 2014-02-13 |
| 1740629021 | Teofilo Gozaine LLC | Otolaryngology | 506 S 6th St, Leesville, LA 71446-4482 | 2013-06-19 |
| 1770701898 | David Hawkes Steiner | Orthopaedic Surgery | 506 S 6th St, Leesville, LA 71446-4442 | 2007-04-23 |
| 1942223904 | Lizabeth G Hattaway | Nurse Practitioner | 506 S 6th St, Leesville, LA 71446-4482 | 2006-07-25 |
| 1720037922 | West State Orthopedics and Sports Medicine Clinic | Orthopaedic Surgery | 506 S 6th St, Suite B, Leesville, LA 71446-4442 | 2006-05-08 |
| 1598764102 | Teofilo Gozaine | Otolaryngology | 506 S 6th St, Leesville, LA 71446-4442 | 2005-07-15 |
| 1881693497 | Christian Freund | Urology | 506 S 6th St, Suite B, Leesville, LA 71446-4442 | 2005-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699399048 | Just Health | Clinic/Center | 1203 South Fourth St, Leesville, LA 71446 | 2020-06-02 |
| 1487298964 | Usafetrans | Non-emergency Medical Transport (VAN) | 9348 Shreveport Hwy, Leesville, LA 71446 | 2019-10-29 |
| 1235634486 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 298 Nolan Trace Pkwy., Leesville, LA 71446 | 2018-03-29 |
| 1598280810 | Heather Wisby | Nurse Practitioner | 919 S. 10th St., Leesville, LA 71446 | 2017-08-08 |
| 1487183802 | Cathryn Lea Gaur | Speech-Language Pathologist | 300 Nolan Trace, Leesville, LA 71446 | 2017-06-08 |
| 1356708515 | Jessica Slaughter | Counselor | 1808 S 5th St, Suite A, Leesville, LA 71446 | 2016-01-19 |
| 1366820714 | Companion Care of Southwest Louisiana | In Home Supportive Care | 407 B North 5th Street, Leesville, LA 71446 | 2015-05-18 |
| 1760887673 | Great River Orthopedic and Sports Medicine Center, Inc. | Orthopaedic Surgery | 800 S. 3rd St., Leesville, LA 71446 | 2014-11-04 |
| 1003244781 | Byrd Regional Hospital | General Acute Care Hospital | 1020 W. Fertitta Blvd., Leesville, LA 71446 | 2013-10-16 |
| 1447500293 | Jana N Lambert | Nurse Practitioner | 919 S. 10th St, Leesville, LA 71446 | 2012-09-19 |
| Find all providers in zip 71446 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836166 | Thibodaux Regional Network Development Corporation | Podiatrist | 726 N Acadia Rd Ste 1700, Thibodaux, LA 70301-5051 | 2020-06-24 |
| 1437780939 | Louisiana Foot and Ankle Surgeons, LLC | Podiatrist | 401 Veterans Blvd Ste 207, Metairie, LA 70005-2957 | 2020-02-03 |
| 1326682089 | Center for Orthopaedics and Spine LLC | Podiatrist | 250 Beglis Pkwy Ste 1, Sulphur, LA 70663-3503 | 2019-11-05 |
| 1275063703 | Dr Rene J Hymel Dpm LLC | Podiatrist | 2101 Robin Ave Ste 11, Hammond, LA 70403-5773 | 2017-06-18 |
| 1205369840 | Christian Antonio Valle | Podiatrist | 3601 Desiard St, Monroe, LA 71203-4352 | 2017-04-11 |
| 1134576754 | Gabrielle Sharon Clark | Podiatrist | 10555 Lake Forest Blvd Ste 3a-b, New Orleans, LA 70127-5206 | 2016-05-24 |
| 1497141311 | Pelican State Foot & Ankle Care LLC | Podiatrist | 1938 Jackson St, Alexandria, LA 71301-6437 | 2015-04-07 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| 1457773863 | Edugie Valentine Omoregbee | Podiatrist | 203 W Brentwood Blvd Ste 2, Lafayette, LA 70506-6190 | 2014-01-20 |
| 1245503119 | Gentry Haughton LLC | Podiatrist | 600 Unadilla St, Shreveport, LA 71106-1242 | 2012-02-22 |
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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.