DR. PATRICK WAYNE BLACKBURN


Address: 880 Madison Ave, Memphis, TN 38103-3409
Phone: 9015153500

DR. PATRICK WAYNE BLACKBURN (NPI# 1972999266) 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) 1972999266
Entity Type Individual
Full Name DR. PATRICK WAYNE BLACKBURN
Credential MD
Practice Address 880 Madison Ave
Memphis
TN 38103-3409
Mailing Address 853 Jefferson Ave
Room E102
Memphis
TN 38103-2807
Practice Telephone 9015153500
Practice Fax Number 9015453509
Enumeration Date 2015-04-13
Last Update Date 2020-05-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 59600 TN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
910 Madison Ave, Suite 1031, Memphis, TN 381033403 9014484795

Other Providers PATRICK BLACKBURN

NPI Name Taxonomy Address Enumeration
1871078741 Patrick C Blackburn II Technician/Technologist 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 2018-09-26

Office Location

Street Address 880 MADISON AVE
City MEMPHIS
State TN
Zip Code 38103-3409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053394155 Roberto Levi-d'ancona Obstetrics & Gynecology 880 Madison Ave, Memphis, TN 38103-3409 2005-11-22
1881212132 Muhammad Hamid Internal Medicine 880 Madison Ave, Memphis, TN 38103-3409 2020-07-13
1568081669 Jenifer Chang Dietitian, Registered 880 Madison Ave, Memphis, TN 38103-3409 2020-04-09
1598395089 Amy Metcalfe Smith Pharmacist 880 Madison Ave, Memphis, TN 38103-3409 2020-01-23
1497316301 Alicia Verona Wilson Nurse Practitioner 880 Madison Ave, Memphis, TN 38103-3409 2019-06-23
1669937835 Fatima Anmol Iqbal Khan Physician Assistant 880 Madison Ave, Memphis, TN 38103-3409 2019-02-01
1932663911 Maria Renee Hallford Registered Nurse 880 Madison Ave, Memphis, TN 38103-3409 2019-01-24
1295289049 Crystal Walker Nurse Practitioner 880 Madison Ave, Memphis, TN 38103-3409 2016-08-10
1386096279 Amanda Lynn Williams Advanced Practice Midwife 880 Madison Ave, Memphis, TN 38103-3409 2016-07-05
1568818938 Sunbal Ashraf Psychiatry & Neurology 880 Madison Ave, Memphis, TN 38103-3409 2016-05-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619505724 Michelle Lynn Esposito Dietitian, Registered 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 2020-04-01
1962030221 Allison Burge Clayton Dietitian, Registered 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 2020-03-31
1093375420 Radar Ems, LLC Social Worker 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 2019-06-18
1528529021 Denise Andrews Matthews Nursing Care 342 Island Dr #105, Memphis, TN 38103 2019-03-27
1881160059 Christopher Paul Hernandez Nurse Practitioner 877 Jeffeon Ave, Memphis, TN 38103 2018-10-15
1194245712 Cameron Waters Clinard Optometrist 127 Isle Creek Dr, Memphis, TN 38103 2017-06-24
1750732582 Amanda Leigh Eaves Nurse Practitioner 364 S Front St Ste 201, Memphis, TN 38103 2016-06-22
1417304569 John Clark Shell Family Medicine 150 Harbor Creek Dr, Memphis, TN 38103 2016-05-18
1750753695 Tomisha V. Byard Nurse Practitioner 718 Habor Bend Road, Memphis, TN 38103 2015-10-29
1053795179 Melissa Anne Wilkes Social Worker 1240 Harbor River Drive, Memphis, TN 38103 2015-07-18
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043860448 901 Health, Pllc Obstetrics & Gynecology 3068 Covington Pike Ste 3, Memphis, TN 38128-5001 2019-09-17
1669860557 Midsouth Healthcare Management Obstetrics & Gynecology 3249 W Sarazens Cir, Memphis, TN 38125-0807 2014-12-31
1104269745 Abigail Y. Talbot Obstetrics & Gynecology 6215 Humphreys Blvd Ste 500, Memphis, TN 38120-2384 2013-04-13
1972863165 Robin Morehead Taylor Obstetrics & Gynecology 6215 Humphreys Blvd Ste 100, Memphis, TN 38120-2382 2012-05-21
1417121013 Dominique M Butawan-ali Obstetrics & Gynecology 6215 Humphreys Blvd., Ste 100, Memphis, TN 38120 2008-04-15
1972782670 Ob Gyn Centers of Memphis,mpllc Obstetrics & Gynecology 1264 Wesley Dr Ste 402, Memphis, TN 38116-6447 2007-10-30
1699963249 Stephen Eguabor Ehiremen Obstetrics & Gynecology 2900 Kirby Rd Ste 11, Memphis, TN 38119 2007-10-09
1902013238 Carlos Zavala Obstetrics & Gynecology 1850 Poplar Crest Cv, Suite 105, Memphis, TN 38119-4877 2007-05-17
1578775359 Laura B Haskins Obstetrics & Gynecology 6005 Park Ave Ste 430b, Memphis, TN 38119-5211 2007-05-04
1598892325 Memphis Midsouth Obgyn Alliance P.C. Obstetrics & Gynecology 6215 Humprehys Blvd, Suite 400, Memphis, TN 38120 2007-02-28
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Competitor

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City MEMPHIS
Zip Code 38103

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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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