Denise P Blackburn (NPI# 1043568280, PAC ID# 5496906901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043568280 |
| PAC ID by PECOS | 5496906901 |
| Professional Enrollment ID | I20121109000400 |
| Full Name | Denise P Blackburn |
| Organization Legal Name | MERCY CLINIC HEART AND VASCULAR LLC |
| Address |
20 The Legends Pkwy Eureka MO 63025-3801 |
| Phone Number | 3142511700 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820016207 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260052 | MERCY HOSPITAL WASHINGTON |
| Address | Phone | Organization |
|---|---|---|
| 20 The Legends Pkwy, Eureka, MO 63025-3801 | 3142511700 | MERCY CLINIC HEART AND VASCULAR LLC |
| Organization Legal Name | MERCY CLINIC HEART AND VASCULAR LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney R Gray | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 620 Maple Valley Dr, Farmington, MO 63640-1976 |
| Frank L Bleyer | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 1000 E Cherry St, Fl 3, Troy, MO 63379-1513 |
| Bruce Czarnik | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 1203 Smizer Mill Rd, Suite 102, Fenton, MO 63026-3483 |
| Stacy Schroeder | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| James A Stokes | Internal Medicine | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2030, Saint Louis, MO 63141-8253 |
| Seth N Barbanell | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 755 Dunn Rd, Suite 160, Hazelwood, MO 63042-1751 |
| Louis V Deane | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2030, Saint Louis, MO 63141-8253 |
| Benjamin Robert Wiele | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2015, Saint Louis, MO 63141-8253 |
| Kristin Louise Fisher | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 901 Patients 1st Dr, Washington, MO 63090-4700 |
| Robert P Ferrara | Cardiovascular Disease (cardiology) | Mercy Clinic Heart and Vascular LLC | 625 S New Ballas Rd, Suite 2015, Saint Louis, MO 63141-8253 |
| Street Address |
20 THE LEGENDS PKWY |
| City | EUREKA |
| State | MO |
| Zip | 63025-3801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah K Perkins | Nurse Practitioner | Mercy Hospitals East Communities | 20 The Legends Pkwy, Eureka, MO 63025-3801 |
| Umer H Siddiqui | Pulmonary Disease | Mercy Clinic Pulmonology Washington LLC | 20 The Legends Pkwy, Eureka, MO 63025-3801 |
| Dena B Kruse | Nurse Practitioner | Mercy Clinic Heart and Vascular LLC | 20 The Legends Pkwy, Eureka, MO 63025-3801 |
| Amy L Couch | Family Medicine | Mercy Hospitals East Communities | 20 The Legends Pkwy, Eureka, MO 63025-3801 |
| Kristy Bestgen | Nurse Practitioner | Mercy Clinic East Communities | 20 The Legends Pkwy, Eureka, MO 63025-3823 |
| Kim D Colter | Family Medicine | Mercy Hospitals East Communities | 20 The Legends Pkwy, Eureka, MO 63025-3801 |
| Nestor Michael Shust | Emergency Medicine | Mercy Hospitals East Communities | 20 The Legends Pkwy, Eureka, MO 63025-3801 |
| Tina Louise Valentine | Nurse Practitioner | Mercy Hospitals East Communities | 20 The Legends Pkwy, Eureka, MO 63025-3801 |
| Lauren R Neier | Physician Assistant | Mercy Hospitals East Communities | 20 The Legends Pkwy, Eureka, MO 63025-3801 |
| John J Dubois | Internal Medicine | Mercy Clinic East Communities | 20 The Legends Pkwy, Eureka, MO 63025-3823 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin W Hicks | Optometry | 131 Eureka Towne Ctr, Eureka, MO 63025-1031 | |
| Shawn D Patton | Chiropractic | Comprehensive Chiropractic PC | 113 W 5th St, Eureka, MO 63025-1109 |
| Patrick D Feder | Chiropractic | Comprehensive Chiropractic PC | 113 W 5th St, Eureka, MO 63025-1109 |
| Julia Partin | Podiatry | Metro Foot Specialists LLC | 521 N Virginia Ave, Eureka, MO 63025-1115 |
| Kara M Kozlowski | Podiatry | Metro Foot Specialists LLC | 521 N Virginia Ave, Eureka, MO 63025-1115 |
| Mykle A Jacobs | Maxillofacial Surgery | Michael W Noble Dmd PC | 60 E N St, Oral Facial Surgery Institute, Eureka, MO 63025-1205 |
| Andrew Ludwig | Physical Therapy | Prorehab PC | 217 E 5th St, Eureka, MO 63025-1223 |
| Lauren E Westen | Physical Therapy | Prorehab PC | 217 E 5th St, Eureka, MO 63025-1223 |
| David R Jackson | Physical Therapy | Prorehab PC | 217 E 5th St, Eureka, MO 63025-1223 |
| Amanda E Peters | Physical Therapy | Prorehab PC | 217 E 5th St, Eureka, MO 63025-1223 |
| Find all physicians in zip 63025 | |||
| City | EUREKA |
| Zip Code | 63025 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EUREKA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Denise P Blackburn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.