Michael A Blackburn (NPI# 1619389525, PAC ID# 8729378260) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619389525 |
| PAC ID by PECOS | 8729378260 |
| Professional Enrollment ID | I20160613000266 |
| Full Name | Michael A Blackburn |
| Organization Legal Name | GROUP HEALTH PLAN INC |
| Address |
1654 Diffley Rd Suite 100 Eagan MN 55122-2237 |
| Phone Number | 6516413900 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1759293954 |
| Number of Group Practice Members | 1318 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1654 Diffley Rd, Suite 100, Eagan, MN 55122-2237 | 6516413900 | GROUP HEALTH PLAN INC |
| 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 6123711600 | GROUP HEALTH PLAN INC |
| 2220 Riverside Ave S, Minneapolis, MN 55454-1321 | 6123711605 | GROUP HEALTH PLAN INC |
| 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 9529933123 | PARK NICOLLET CLINIC |
| 8325 Seasons Pkwy, Woodbury, MN 55125-4402 | 6517025868 | GROUP HEALTH PLAN INC |
| 8450 Seasons Pkwy, Woodbury, MN 55125-4402 | 6517025300 | GROUP HEALTH PLAN INC |
| Organization Legal Name | GROUP HEALTH PLAN INC |
| Physicians | 1492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bisrat Fekadu | Family Medicine | Group Health Plan Inc | 8450 Seasons Pkwy, Woodbury, MN 55125-4402 |
| Rachel Elizabeth Kneeland | Internal Medicine | Group Health Plan Inc | 700 Rivard St, Somerset, WI 54025-7382 |
| Laura Anne Chilson | Nurse Practitioner | Group Health Plan Inc | 1430 Hwy 96 E, White Bear Lake, MN 55110-3653 |
| Brian S Myer | General Surgery | Group Health Plan Inc | 640 Jackson St, Saint Paul, MN 55101-2502 |
| Luke Tae Jong Moore | Ophthalmology | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Erin J Schmidt | Family Medicine | Group Health Plan Inc | 700 Wildwood Rd, Mahtomedi, MN 55115-1852 |
| Chad Michael Myeroff | Orthopedic Surgery | Group Health Plan Inc | 435 Phalen Blvd, Saint Paul, MN 55130-5302 |
| Cheryl Settimi | Nurse Practitioner | Group Health Plan Inc | 601 Jacob Ln, Anoka, MN 55303-1621 |
| Jennifer A Novak | Nurse Practitioner | Group Health Plan Inc | 2165 White Bear Ave, Maplewood, MN 55109-2707 |
| Aaron Means | Psychologist, Clinical | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Street Address |
1654 DIFFLEY RD SUITE 100 |
| City | EAGAN |
| State | MN |
| Zip | 55122-2237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Craane | Family Medicine | Group Health Plan Inc | 1654 Diffley Rd, Suite 100, Eagan, MN 55122-2237 |
| Amy L Schwartz | Physician Assistant | Group Health Plan Inc | 1654 Diffley Rd, Suite 100, Eagan, MN 55122-2237 |
| Yaria I Bangura | Nurse Practitioner | Group Health Plan Inc | 1654 Diffley Rd, Suite 100, Eagan, MN 55122-2237 |
| Michael E Fleischhacker | Chiropractic | Group Health Plan Inc | 1654 Diffley Rd, Suite 100, Eagan, MN 55122-2237 |
| Tracy J Irons-dieterle | Nurse Practitioner | Group Health Plan Inc | 1654 Diffley Rd, Suite 100, Eagan, MN 55122-2237 |
| Kristina Sharma | Family Medicine | Group Health Plan Inc | 1654 Diffley Rd, Suite 100, Eagan, MN 55122-2237 |
| Kimberly S Glynn | Emergency Medicine | Group Health Plan Inc | 1654 Diffley Rd, Suite 100, Eagan, MN 55122-2237 |
| Omar Fernandes | Physician Assistant | Group Health Plan Inc | 1654 Diffley Rd, Suite 100, Eagan, MN 55122-2237 |
| Beena Kumar | Family Medicine | Group Health Plan Inc | 1654 Diffley Rd, Suite 100, Eagan, MN 55122-2237 |
| Raina L Young | Family Medicine | Group Health Plan Inc | 1654 Diffley Rd, Suite 100, Eagan, MN 55122-2237 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Deckert | Chiropractic | 2020 Silver Bell Rd, Suite 9, Eagan, MN 55122-1050 | |
| Robert D Lukin | Chiropractic | 2020 Silver Bell Rd, Suite 9, Eagan, MN 55122-1050 | |
| Barbara A Kaiser | Chiropractic | 3435 Washington Dr, Suite 208, Eagan, MN 55122-1321 | |
| Erin E Carlson | Optometry | Eagan Eye Clinic | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 |
| Benjamin E Stout | Optometry | Eagan Eye Clinic | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 |
| Kathleen F Sadak | Pediatric Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Lindsay M Kuphal | Nurse Practitioner | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Michelle M Svihel | Physician Assistant | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Jeffrey R Michell | Family Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Kamiab Delfanian | Internal Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Find all physicians in zip 55122 | |||
| City | EAGAN |
| Zip Code | 55122 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EAGAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael 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.