GENEVIEVE J.T. BLACKWELDER


Address: 6526 Ashmore Ln, Tyler, TX 75703-5896
Phone: 9724893005

GENEVIEVE J.T. BLACKWELDER (NPI# 1770791717) 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) 1770791717
Entity Type Individual
Full Name GENEVIEVE J.T. BLACKWELDER
Credential M.D.
Practice Address 6526 Ashmore Ln
Tyler
TX 75703-5896
Practice Telephone 9724893005
Mailing Telephone 9724893005
Enumeration Date 2007-05-21
Last Update Date 2009-10-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics N2007 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 6526 ASHMORE LN
City TYLER
State TX
Zip Code 75703-5896

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1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
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1215419353 Deidre Lynn Fergason Occupational Therapy Assistant 3505 Old Jacksonville Hwy, Tyler, TX 75703 2018-09-05
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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
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073842514 St. Paul Children's Medical Corporation Pediatrics 1358 E Richards St, Tyler, TX 75702-6153 2009-12-11
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
1134199284 Michael David Austin Pediatrics 1000 E 5th St, Tyler, TX 75701-3346 2006-01-23
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Competitor

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City TYLER
Zip Code 75703

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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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