JONATHAN C BLACKMORE (NPI# 1972653269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972653269 |
| Entity Type | Individual |
| Full Name | JONATHAN C BLACKMORE |
| Credential | DO |
| Practice Address |
412 South East Center St Faison NC 28341 |
| Mailing Address |
Po Box 187 Faison NC 28341-0187 |
| Practice Telephone | 9102671942 |
| Mailing Telephone | 9102672042 |
| Mailing Fax Number | 8559969090 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 200500942 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1489881 | 05 |
| Street Address |
412 SOUTH EAST CENTER ST |
| City | FAISON |
| State | NC |
| Zip Code | 28341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508138595 | Crescent Foods | Durable Medical Equipment & Medical Supplies | 206 Sw Center St., Faison, NC 28341 | 2012-02-06 |
| 1457649964 | Wendy Ann Alvanos | Pharmacist | 206 South West Center Street, Faison, NC 28341 | 2011-07-18 |
| 1902084486 | Goshen Medical Center Faison Dental Services | Clinic/Center | 460 Sw Center Street, Faison, NC 28341 | 2008-02-06 |
| 1073684015 | Randall Richards | Internal Medicine | 444 Sw Center St., Faison, NC 28341 | 2006-11-13 |
| 1366521577 | Crescent Foods Inc | Durable Medical Equipment & Medical Supplies | 206 Sw Center St, Faison, NC 28341 | 2006-11-06 |
| 1598929713 | Kristi Ann Kerr | Obstetrics & Gynecology | 444 Sw Center St, Faison, NC 28341 | 2008-07-16 |
| 1982726048 | Jenny Anna Turek | Dentist | 460 Sw Center St, Faison, NC 28341 | 2007-04-06 |
| 1487776043 | Mary C Bass | Social Worker | 444 Sw Center St., Faison, NC 28341 | 2007-04-04 |
| 1144364209 | Lauren Eades | Physician Assistant | 444 Sw Center St., Faison, NC 28341 | 2007-02-20 |
| 1003889288 | Mian Bashir Daud | Family Medicine | 444 Sw Center Street, Faison, NC 28341-0187 | 2006-02-09 |
| Find all providers in zip 28341 | ||||
| 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 |
|---|---|---|---|---|
| 1003889288 | Mian Bashir Daud | Family Medicine | 444 Sw Center Street, Faison, NC 28341-0187 | 2006-02-09 |
| 1083697213 | Walter R Schmits Jr. | Family Medicine | 444 Sw Center St, Faison, NC 28341-8820 | 2005-11-22 |
| 1811942865 | Allyn Benard Dambeck | Family Medicine | 444 Sw Center St, Faison, NC 28341-8820 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
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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.