LISA RENEE BLACKWOOD (NPI# 1912298191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912298191 |
| Entity Type | Individual |
| Full Name | LISA RENEE BLACKWOOD |
| Credential | MD |
| Practice Address |
132 Village Center Rd Harlan KY 40831 |
| Mailing Address |
Po Box 40 Whitesburg KY 41858-0040 |
| Practice Telephone | 6065737771 |
| Practice Fax Number | 6065732809 |
| Mailing Telephone | 6066334823 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 261223 | NY | Other Service Providers |
| Y | 207V00000X | Obstetrics & Gynecology | 52468 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 132 Village Center Rd, Harlan, KY 40831 | 6065737771 | 6065732809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760749683 | Lisa Ann Blackwood | Dermatology | 3455 S Yarrow St, Lakewood, CO 80227 | 2012-04-17 |
| 1720139769 | Lisa Blackwood | Counselor | 5425a Burnet Rd, Austin, TX 78756-1627 | 2007-01-16 |
| Street Address |
132 VILLAGE CENTER RD |
| City | HARLAN |
| State | KY |
| Zip Code | 40831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103306 | Amber L Allen | Pediatrics | 132 Village Center Rd, Harlan, KY 40831 | 2005-06-13 |
| 1013468222 | Savanna Wynn | Nurse Practitioner | 132 Village Center Rd, Harlan, KY 40831-1777 | 2016-10-24 |
| 1144688011 | Felicia Natasha Scott | Social Worker | 132 Village Center Rd, Harlan, KY 40831-1777 | 2016-02-05 |
| 1376925305 | April Dempsey | Nurse Practitioner | 132 Village Center Rd, Harlan, KY 40831-1777 | 2015-06-26 |
| 1396146486 | Svetlana Grinberg | Family Medicine | 132 Village Center Rd, Harlan, KY 40831 | 2014-09-09 |
| 1912314683 | Kristin Delaney | Nurse Practitioner | 132 Village Center Rd, Harlan, KY 40831-1777 | 2014-07-15 |
| 1285059394 | Misty Lynn Turner | Nurse Practitioner | 132 Village Center Rd, Harlan, KY 40831-1777 | 2014-02-26 |
| 1548492952 | Shannon Rutherford | Nurse Practitioner | 132 Village Center Rd, Harlan, KY 40831-1777 | 2009-08-18 |
| 1316082969 | Karen Lynn Baker | Counselor | 132 Village Center Rd, Harlan, KY 40831-1777 | 2007-02-21 |
| 1194899757 | Carmen Jones | Social Worker | 132 Village Center Rd, Harlan, KY 40831-1777 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795261 | Hometown Urgent Care | Clinic/Center | 101 Green Terrace, Harlan, KY 40831 | 2020-09-21 |
| 1093243727 | Right Choice Counseling | Counselor | 53 Meadowbrook Lane, Harlan, KY 40831 | 2017-05-25 |
| 1639515935 | Harlan County Health Department Inc/ Cawood Elementary School | Public Health or Welfare | 51 Nola St, Cawood, KY 40831 | 2013-05-14 |
| 1487090775 | Harlan County Health Department Inc/james A Cawood Elementary School | Public Health or Welfare | 269 Ball Park Road, Harlan, KY 40831 | 2013-05-14 |
| 1336278175 | Newton Samuel Guy IIi | Dentist | 303 Mound St, Harlan, KY 40831 | 2007-03-05 |
| 1033256904 | Earlene A. Napier | Counselor | 15 Eula Gray Street, Harlan, KY 40831 | 2007-01-31 |
| 1538265400 | Kirpal S Sidhu | Orthopaedic Surgery | 29 Eula Gray Street, Harlan, KY 40831 | 2006-09-16 |
| 1508977067 | Gursharan Kaur Sidhu | Pediatrics | 29 Eula Gray St, Gursharan Kaur Sidhu Md, Harlan, KY 40831 | 2006-08-31 |
| 1649229725 | Timothy Logan Yost | Physical Therapist | 100 Professional Lane, Suite 102, Harlan, KY 40831 | 2006-05-08 |
| 1881693471 | Medical Services of America Inc | Emergency Response System Companies | 2307 W Hwy 72, Bldg B, Unit 2, Harlan, KY 40831 | 2005-07-18 |
| Find all providers in zip 40831 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205092178 | Osama Amro | Obstetrics & Gynecology | 37 Ball Park Rd, Suite 201, Harlan, KY 40831-1701 | 2008-07-31 |
| 1366405193 | Lanny C Hadley | Obstetrics & Gynecology | 132 Village Center Rd, Harlan, KY 40831-1777 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1487285029 | Kenneth Lee Mudd | Obstetrics & Gynecology | 1081 Eastern Pkwy, Louisville, KY 40217-1559 | 2020-02-03 |
| 1881146793 | One Way Gynecology LLC | Obstetrics & Gynecology | 126 Daniel Dr, Suite B, Danville, KY 40422-2547 | 2016-10-26 |
| 1043667041 | Lindsey Ann Choi | Obstetrics & Gynecology | 650 Joel Dr Bldg A, Fort Campbell, KY 42223-5318 | 2016-05-19 |
| 1518321959 | Celia M O'brien | Obstetrics & Gynecology | 4130 Dutchmans Ln Ste 400, Louisville, KY 40207-4711 | 2016-04-12 |
| 1285098061 | Audrey Garneau | Obstetrics & Gynecology | 800 Rose St # C368, Lexington, KY 40536-4720 | 2016-04-07 |
| 1558743658 | Katherine Schluter Vignes | Obstetrics & Gynecology | Obstetrics and Gynecology, 800 Rose Street C-368, Lexington, KY 40536-0293 | 2015-06-24 |
| 1912387523 | Emily Jordan Gregory | Obstetrics & Gynecology | 1700 Nicholasville Rd Ste 703, Lexington, KY 40503-1467 | 2015-06-09 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1851701452 | Megan O'conner Schneider | Obstetrics & Gynecology | 20 Medical Village Dr Ste 302, Edgewood, KY 41017 | 2014-05-05 |
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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.