DR. MICHAEL VAUGHN BAXTER BLEDSOE (NPI# 1770979874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770979874 |
Entity Type | Individual |
Full Name | DR. MICHAEL VAUGHN BAXTER BLEDSOE |
Credential | D.O. |
Practice Address |
701 Madison Ave Madison WV 25130 |
Mailing Address |
701 Madison Ave Madison WV 25130-1699 |
Practice Telephone | 3043691230 |
Mailing Telephone | 3043691230 |
Enumeration Date | 2015-04-15 |
Last Update Date | 2018-07-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 3097 | WV | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568731610 | Michael Lee Bledsoe | Physical Therapy Assistant | 116 Ciara Dr, Montreal, MO 65591-7801 | 2011-12-19 |
1598878779 | Michael Laird Bledsoe | Preventive Medicine | 8880 Ne 82nd Terrace, Mosaic Life Care, Kansas City, MO 64158 | 2006-08-15 |
1114139136 | Michael Bledsoe | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main St, Grass Valley, CA 95945-6410 | 2007-05-03 |
Street Address |
701 MADISON AVE |
City | MADISON |
State | WV |
Zip Code | 25130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265412472 | James Kenton Walker | Family Medicine | 701 Madison Ave, Madison, WV 25130-1669 | 2006-01-23 |
1316593270 | Jessica Toath-callahan | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1699 | 2019-08-15 |
1467013243 | Kerri Anne Spry-lambert | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1669 | 2019-06-24 |
1710456561 | Casey Shannon Hatfield | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1699 | 2018-11-21 |
1265927750 | Melissa Ann Price | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1699 | 2018-06-27 |
1154844249 | Heather Kay Legg | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1669 | 2017-07-20 |
1346763786 | Jackson B Austin | Physician Assistant | 701 Madison Ave, Madison, WV 25130-1669 | 2017-07-18 |
1184091399 | Robert Lee Foster Jr. | Pharmacist | 701 Madison Ave, Madison, WV 25130-1669 | 2015-08-24 |
1942694971 | Shane Cook | Dermatology | 701 Madison Ave, Madison, WV 25130-1669 | 2015-03-27 |
1023427283 | Kelli Canterbury | Nurse Practitioner | 701 Madison Ave, Madison, WV 25130-1669 | 2014-08-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
1255940516 | Katie Adkins | Technician | 109 Ave C, Madison, WV 25130 | 2020-07-23 |
1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
1386710028 | Lisa Gaye Dolan | Registered Nurse | 69 Avenue B, Boone County of Educations, Madison, WV 25130 | 2006-11-27 |
1679671549 | Atkins Dds Inc | Dentist | 221 State Street, Suite 102, Madison, WV 25130 | 2006-09-21 |
1063446854 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3265 Smoot Avenue, Madison, WV 25130 | 2006-07-10 |
1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
1689628489 | Kathy Jo Hill | Nurse Practitioner | 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 | 2006-05-19 |
1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
1770597171 | Ronald D Chattin | Family Medicine | 515 Main St, Madison, WV 25130 | 2006-07-28 |
Find all providers in zip 25130 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
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1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
1598390932 | Ashley Rae Woodcock | Family Medicine | 844 Slaughter Rd, Madison, AL 35758-8836 | 2020-03-05 |
1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
1538628961 | Heidi Hollinger | Family Medicine | 145 Kelso Blvd, Madison, AL 35756-4285 | 2019-03-15 |
1902364383 | Robert Thomas Pepper | Family Medicine | 1740 Lions Club Rd Ste 100, Madison, GA 30650-4762 | 2019-03-05 |
1497240485 | Doctor-patient Medicine Inc | Family Medicine | 101 Westover Cir Ste B, Madison, AL 35758-4900 | 2018-06-22 |
1457863243 | Debra Ann Mandarino | Family Medicine | 4223 Mandan Cres # 4223, Madison, WI 53711-3063 | 2017-11-02 |
1407367683 | Roxanne L Brown | Family Medicine | 1210 Briarville Rd Bldg F, Madison, TN 37115-5136 | 2017-10-16 |
1871023242 | Tulio Romulo Figarola | Family Medicine | 225 Mill Walk Ct, Madison, AL 35758-1565 | 2017-06-18 |
1649704586 | Zaunklay Finnila | Family Medicine | 540 Hughes Rd Ste 4, Madison, AL 35758-8959 | 2017-04-18 |
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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.