ROBERT BLACKMON (NPI# 1851772891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851772891 |
| Entity Type | Individual |
| Full Name | ROBERT BLACKMON |
| Credential | M.D. |
| Practice Address |
2050 Barb St Silverdale WA 98315 |
| Mailing Address |
606 Burwell St Apt 201 Bremerton WA 98337-1471 |
| Practice Telephone | 3603154391 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 30420 | NE | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2050 Barb St, Silverdale, WA 98315 | 3603154391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407987076 | Robert Charles Blackmon Iv | Internal Medicine | 3720 Martin Luther King Jr Ave Se, Washington, DC 20032-1548 | 2007-03-08 |
| Street Address |
2050 BARB ST |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013987122 | Frederick Gilbert Young | Dentist | 2050 Barb St, Suite B, Silverdale, WA 98315-2050 | 2006-01-23 |
| 1306482211 | Skylar Jo Snowden | Dentist | 2050 Barb St, Silverdale, WA 98315-2050 | 2019-11-26 |
| 1952963365 | Lance Richard Harris | Dentist | 2050 Barb St, Silverdale, WA 98315-2050 | 2019-07-05 |
| 1437672466 | Tracy Rowley | Dental Hygienist | 2050 Barb St, Silverdale, WA 98315-2050 | 2017-07-21 |
| 1134583636 | Collin Barker | Dentist | 2050 Barb St, Silverdale, WA 98315-2050 | 2016-04-11 |
| 1427398296 | Rudy F Schmiedecke | Military Health Care Provider | 2050 Barb St, Silverdale, WA 98315-2050 | 2013-02-15 |
| 1992093538 | Daniel Bradley | Family Medicine | 2050 Barb St, Silverdale, WA 98315-2050 | 2011-07-18 |
| 1447584545 | Michael Anthony Smith | Dentist | 2050 Barb St, Suite #b, Silverdale, WA 98315-2098 | 2009-09-23 |
| 1912196221 | Randall Evan Moss | Physician Assistant | 2050 Barb St, Silverdale, WA 98315 | 2007-10-23 |
| 1932302262 | Branch Medical Clinic Bangor | Clinic/Center | 2050 Barb St, Silverdale, WA 98315 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700044500 | Tina Louise Toles | Military Health Care Provider | Marine Corps Security Forces Battalion, Fpo, AP 98315 | 2008-05-28 |
| 1235340738 | Edward Cliff Littler | Military Health Care Provider | Uss Henry M Jackson (ssbn 730)(blue), Fpo Ap, Bangor, WA 98315 | 2007-05-25 |
| 1871705673 | Christopher Lee Drennon | Military Health Care Provider | Mcsfco Bangor, Silverdlae, WA 98315 | 2007-05-04 |
| 1043317803 | Naval Hospital Bremerton | Military/U.S. Coast Guard Pharmacy | 2050 Barb St Ste A, Silverdale, WA 98315 | 2006-09-20 |
| 1538191283 | Matthew H Mcclernan | Military Health Care Provider | Uss Kentucky Ssbn 737 Gold, 2100 Thresher Ave, Silverdale, WA 98315 | 2006-07-06 |
| 1962723668 | Christopher Deon Davis | Military Health Care Provider | 2100 Thresher Ave, Uss Henry M Jackson Ssbn 730(g), Silverdale, WA 98315 | 2010-06-16 |
| 1366773038 | Mario M Faria | Military Health Care Provider | 2100 Thresher Ave, Uss Pennsylvania Ssbn 735, Silverdale, WA 98315 | 2010-01-20 |
| 1386689560 | Richard E Bolton | Military Health Care Provider | 2100 Thresher Ave, Uss Nevada, Silverdale, WA 98315 | 2006-06-19 |
| 1003442310 | Gary Whittaker | Marriage & Family Therapist | 1099 Tautog Circle, Silverdale, WA 98315-1012 | 2020-03-18 |
| 1609976406 | Robert Bruce Ludy | Personal Emergency Response Attendant | 2000 Thresher Ave, Silverdale, WA 98315-2004 | 2006-09-22 |
| Find all providers in zip 98315 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912333170 | John Richard Ashley | Military Health Care Provider | 7111 Sealion Rd, Silverdale, WA 98315-7102 | 2013-09-19 |
| 1427398296 | Rudy F Schmiedecke | Military Health Care Provider | 2050 Barb St, Silverdale, WA 98315-2050 | 2013-02-15 |
| 1023311024 | Mark Edward O'donnell | Military Health Care Provider | 2100 Thresher Ave, Silverdale, WA 98315-2103 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324962 | Elizabeth Thi Nguyen | Military Health Care Provider | 27831 37th Ave S, Auburn, WA 98001-1065 | 2019-09-09 |
| 1760996235 | Brian Scott Loomis | Military Health Care Provider | 701 Hospital Loop Ste 42, Fairchild Afb, WA 99011-8702 | 2017-11-20 |
| 1144549379 | Samantha Colleen Myers | Military Health Care Provider | 2000 W Marine View Dr # 2134, Everett, WA 98207-2900 | 2010-05-27 |
| 1306020359 | Felipson Zabala Ramos Jr. | Military Health Care Provider | 2001 Sixth Ave, Suite 2705, Us Air Force, Seattle, WA 98312-2547 | 2007-12-27 |
| 1437367257 | Pin Y Yau | Military Health Care Provider | 4735 E Marginal Way S, Seattle, WA 98134-2388 | 2007-05-18 |
| 1700940434 | Charles Edwin Olson | Military Health Care Provider | One Boone Rd, Bremerton, WA 98312 | 2006-12-20 |
| 1013013309 | Michael Matthew Dickman | Military Health Care Provider | 9040 Jackson Avenue Family Medicine Department, Tacoma, WA 98431 | 2006-09-15 |
| 1003920380 | Norman Albert Gosch | Military Health Care Provider | 17th and C St., Bldg. 11582, Fort Lewis, WA 98433 | 2006-08-17 |
| 1982662169 | Marvin J Gottschall | Military Health Care Provider | 701 Hospital Loop 92 Mdg, Ste 132, Fairchild Afb, WA 99011 | 2006-05-04 |
| 1518935931 | Eric A. Lange | Military Health Care Provider | 312 Fitzsimmons Ave, Tacoma, WA 98341 | 2006-03-10 |
| Find all providers with the same taxonomy | ||||
| City | SILVERDALE |
| Zip Code | 98315 |
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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.