ALFREDA D. BLACKSHEAR, M.D. (NPI# 1861883753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861883753 |
| Entity Type | Organization |
| Organization Name | ALFREDA D. BLACKSHEAR, M.D. |
| Practice Address |
1215 Lee Ave Tallahassee FL 32303-5850 |
| Practice Telephone | 8508780229 |
| Practice Fax Number | 8509425837 |
| Mailing Telephone | 8508780229 |
| Mailing Fax Number | 8509425837 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |
| Authorized Official Name | DR. ALFREDA D BLACKSHEAR (OWNER) |
| Authorized Official Telephone | 8508780229 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME40463 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0066873700 | 05 |
| Street Address |
1215 LEE AVE |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32303-5850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750645255 | Aisha Donine Bailey | Pediatrics | 1215 Lee Ave, Tallahassee, FL 32303-5850 | 2012-06-28 |
| 1053815431 | Adb Medical Services of North Florida LLC | Pediatrics | 1215 Lee Ave, Tallahassee, FL 32303-5850 | 2018-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
| 1780101501 | Jacqueline Lee Barksdale | Social Worker | 975 Commonwealth Blvd, Tallahasse, FL 32303 | 2017-08-23 |
| 1780118547 | Osborne LLC | Social Worker | 1018 Thomasville Road, Tallahassee, FL 32303 | 2017-04-18 |
| 1528508215 | Klc Personal Care | Assisted Living Facility | 5743 Jodphur Ct, Tallahassee, FL 32303 | 2017-03-01 |
| 1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
| 1902359805 | Brandon Alkire | Physical Therapist | 1660 N. Monroe St, #3, Tallahassee, FL 32303 | 2016-07-27 |
| 1093050957 | Kenneth A. Folsom | Hearing Instrument Specialist | 903 N Monroe St, #3, Tallahassee, FL 32303 | 2012-12-04 |
| 1235481466 | Annika Elizabeth Suarez | Speech-Language Pathologist | 1808 Medart Dr, Tallahassee, FL 32303 | 2012-10-11 |
| 1912257510 | David Voorting | Social Worker | 3107 Evanshire Place, Tallahassee, FL 32303 | 2012-09-12 |
| 1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
| Find all providers in zip 32303 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750540217 | Thomas G Serio Md Pa | Clinic/Center | 1802 Miccosukee Commons Dr, Tallahassee, FL 32308-5432 | 2008-06-09 |
| 1942699509 | Nature Coast Family Medicine | Clinic/Center | 2473 Care Dr, Suite 102, Tallahassee, FL 32308-9814 | 2015-01-20 |
| 1902219041 | Neighborhood Medical Center | Clinic/Center | 438 W Brevard St, Tallahassee, FL 32301-1004 | 2014-06-06 |
| 1447699178 | Prime Assure LLC | Clinic/Center | 1060 Winter Ln, Tallahassee, FL 32311-1267 | 2013-06-16 |
| 1659637825 | Linda Maynard Md Pa | Clinic/Center | 2365 Centerville Rd Ste L-1, Tallahassee, FL 32308-4317 | 2012-04-02 |
| 1144431156 | Apalachee Center Inc | Clinic/Center | 2634 Capital Cir Ne, Tallahassee, FL 32308-4106 | 2007-05-24 |
| 1427090802 | Drs Peele & Deeb Pa | Clinic/Center | 2416 E Plaza Dr, Tallahassee, FL 32308-5301 | 2006-06-12 |
| 1295783504 | Te Enoch Md LLC | Clinic/Center | 1616 Riggins Rd, Tallahassee, FL 32308-5316 | 2006-05-05 |
| 1386621183 | Frank Mendicino | Clinic/Center | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2005-12-22 |
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| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32303 |
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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.