Andrew Thomas Blackburne (NPI# 1437412582, PAC ID# 5496991358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1437412582 |
| PAC ID by PECOS | 5496991358 |
| Professional Enrollment ID | I20170619001987 |
| Full Name | Andrew Thomas Blackburne |
| Organization Legal Name | BJSPH PHYSICIAN BILLING SERVICES, LLC |
| Address |
20 Progress Point Pkwy Suite 108 O Fallon MO 63368-2207 |
| Phone Number | 6363443711 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3678728763 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| 260219 | PROGRESS WEST HOSPITAL |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 | 6363443711 | BJSPH PHYSICIAN BILLING SERVICES, LLC |
| 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 | 3147398844 | SSM MEDICAL GROUP INC |
| 11155 Dunn Rd, Suite 309e, Saint Louis, MO 63136-6111 | 3147419010 | UROLOGY OF ST. LOUIS, INC |
| Organization Legal Name | BJSPH PHYSICIAN BILLING SERVICES, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth A Hacker | General Surgery | Bjsph Physician Billing Services, LLC | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1625 |
| Laurel A Yeager | General Surgery | Bjsph Physician Billing Services, LLC | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1625 |
| Jerad Paul Miller | General Surgery | Bjsph Physician Billing Services, LLC | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1625 |
| Christopher Dennis Jaeger | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Jennifer L Etling | General Surgery | Bjsph Physician Billing Services, LLC | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1625 |
| Daniel J Bergmann | General Surgery | Bjsph Physician Billing Services, LLC | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1625 |
| Kendall A Itoku | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Street Address |
20 PROGRESS POINT PKWY SUITE 108 |
| City | O FALLON |
| State | MO |
| Zip | 63368-2207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Maloney | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Brian Grus | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Gloria Michelle P Edacheril | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Bridget Doerr | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Genevieve Catherine Matthews | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Yolanda Bledsoe | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Kirsten M Mcdaniel | Obstetrics/gynecology | 20 Progress Point Pkwy, Suite 200, O Fallon, MO 63368-2207 | |
| Christopher Dennis Jaeger | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Loria A Lindsey | Obstetrics/gynecology | 20 Progress Point Pkwy, Suite 200, O Fallon, MO 63368-2207 | |
| Milton O Ochieng | Gastroenterology | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin F Clark | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Jeffrey S Swank | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Benjamin L Schaub | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Donald T Thorsen | Occupational Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Theodore S Rummel | Orthopedic Surgery | Piper Spine Care, PC | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 |
| Angela C Clercx | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Jamie L Tueth | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Valentina Jordan Moore | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Martin B Ast | Cardiovascular Disease (cardiology) | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Kendall A Itoku | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Find all physicians in zip 63368 | |||
| City | O FALLON |
| Zip Code | 63368 |
| Specialty | UROLOGY |
| City + Specialty | O FALLON + UROLOGY |
Please comment or provide details below to improve the information on Andrew Thomas Blackburne.
| 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.