DR. MICHAEL VAUGHN BAXTER BLEDSOE


Address: 701 Madison Ave, Madison, WV 25130
Phone: 3043691230

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 3097 WV Allopathic & Osteopathic Physicians

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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
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Office Location

Street Address 701 MADISON AVE
City MADISON
State WV
Zip Code 25130

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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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Competitor

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City MADISON
Zip Code 25130

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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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