Jeannie A Blackburn (NPI# 1700185378, PAC ID# 8123295011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700185378 |
| PAC ID by PECOS | 8123295011 |
| Professional Enrollment ID | I20120117000753 |
| Full Name | Jeannie A Blackburn |
| Organization Legal Name | WEBSTER REHABILITATION SPECIALISTS LLC |
| Address |
500 N Kobayashi Suite A Webster TX 77598-4722 |
| Phone Number | 2817479313 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315201910 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450617 | CLEAR LAKE REGIONAL MEDICAL CENTER |
| 450709 | HOUSTON METHODIST ST JOHN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 N Kobayashi, Suite A, Webster, TX 77598-4722 | 2817479313 | WEBSTER REHABILITATION SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | WEBSTER REHABILITATION SPECIALISTS LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Blackburn | Physician Assistant | Webster Rehabilitation Specialists LLC | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| Asha Dhuka | Physical Medicine and Rehabilitation | Webster Rehabilitation Specialists LLC | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| Gina P Armstrong | Physical Medicine and Rehabilitation | Webster Rehabilitation Specialists LLC | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| Street Address |
500 N KOBAYASHI SUITE A |
| City | WEBSTER |
| State | TX |
| Zip | 77598-4722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maha K Al Lahiq | Internal Medicine | Clear Lake Specialties Pa | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| Omar M Albustami | Pulmonary Disease | Clear Lake Specialties Pa | 500 N Kobayashi, Webster, TX 77598-4722 |
| Remy Teqwimuah | Internal Medicine | Clear Lake Specialties Pa | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| Abdelnaser Elkhalili | Rheumatology | Clear Lake Specialties Pa | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| Amir Q Salam | Medical Oncology | Clear Lake Oncology Pllc | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| Maheswary Jegatheswaran | Internal Medicine | Clear Lake Specialties Pa | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| Shamshad Tharani | Nurse Practitioner | Clear Lake Cardiology Pllc | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| James A Blackburn | Physician Assistant | Webster Rehabilitation Specialists LLC | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| Asha Dhuka | Physical Medicine and Rehabilitation | Webster Rehabilitation Specialists LLC | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| Jessica Rae Renaudo | Nurse Practitioner | Clear Lake Specialties Pa | 500 N Kobayashi, Suite A, Webster, TX 77598-4722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meena Eswaran | Family Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Mark G Macgregor | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Jason T Wang | Family Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Pamela H Cayer | Physician Assistant | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Tony Trang | Gastroenterology | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Oliver C Wu | Family Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Sara L Meloche | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Li-min Hwang | Obstetrics/gynecology | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Emanuel Nazario-irizarry | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Amita D Patel | Optometry | Kelsey-seybold Medical Group, Pllc | 1010 S Ponds Dr, Webster, TX 77598-1409 |
| Find all physicians in zip 77598 | |||
| City | WEBSTER |
| Zip Code | 77598 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEBSTER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jeannie A 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.