Jeffrey Robert Blackburn (NPI# 1396928966, PAC ID# 8820245087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1396928966 |
| PAC ID by PECOS | 8820245087 |
| Professional Enrollment ID | I20170828001063 |
| Full Name | Jeffrey Robert Blackburn |
| Organization Legal Name | WAKEMED SPECIALISTS GROUP, LLC |
| Address |
3324 Six Forks Rd Raleigh NC 27609-7233 |
| Phone Number | 9197817772 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2466788377 |
| Number of Group Practice Members | 508 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340069 | WAKEMED, RALEIGH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 9197817772 | WAKEMED SPECIALISTS GROUP, LLC |
| 3324 Six Forks Rd, Raleigh, NC 27609-7233 | WAKE SPECIALTY PHYSICIANS LLC | |
| 8001 T W Alexander Dr, Raleigh, NC 27617-4883 | 9193500953 | WAKE SPECIALTY PHYSICIANS LLC |
| Organization Legal Name | WAKEMED SPECIALISTS GROUP, LLC |
| Physicians | 467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay Carol Boole | Critical Care (intensivists) | Wakemed Specialists Group, LLC | 200 Ashville Ave, Cary, NC 27518-6659 |
| Ashley Taylor Railsback | Occupational Therapy | Wakemed Specialists Group, LLC | 10000 Cambridge Village Loop, Apex, NC 27502-7707 |
| Catherine S Glazer | Emergency Medicine | Wakemed Specialists Group, LLC | 811 Us 70 Hwy W, Garner, NC 27529-2541 |
| Diana Spahlinger Mccarthy | Obstetrics/gynecology | Wakemed Specialists Group, LLC | 6102 Grace Park Dr, Morrisville, NC 27560-6003 |
| Gary Joseph Wilson | Obstetrics/gynecology | Wakemed Specialists Group, LLC | 10000 Falls of Neuse Rd, Raleigh, NC 27614-7838 |
| Gregory T Anderson | Nurse Practitioner | Wakemed Specialists Group, LLC | 3324 Six Forks Rd, Raleigh, NC 27609-7233 |
| Sarah A Stout | Physician Assistant | Wakemed Specialists Group, LLC | 1111 Huffman Mill Rd, Burlington, NC 27215-8862 |
| Marrilyn D Mcguire | Nurse Practitioner | Wakemed Specialists Group, LLC | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 |
| Jill M Pappalardi | Internal Medicine | Wakemed Specialists Group, LLC | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 |
| Andrea K Crane | Obstetrics/gynecology | Wakemed Specialists Group, LLC | 1110 Se Cary Pkwy, Cary, NC 27518-7420 |
| Street Address |
3324 SIX FORKS RD |
| City | RALEIGH |
| State | NC |
| Zip | 27609-7233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory T Anderson | Nurse Practitioner | Wakemed Specialists Group, LLC | 3324 Six Forks Rd, Raleigh, NC 27609-7233 |
| Terri Mcdowell | Nurse Practitioner | Wakemed Specialists Group, LLC | 3324 Six Forks Rd, Raleigh, NC 27609-7233 |
| Jack W Noneman Jr. | Cardiovascular Disease (cardiology) | Wakemed Specialists Group, LLC | 3324 Six Forks Rd, Raleigh, NC 27609-7233 |
| Padma Bala Hari | Cardiovascular Disease (cardiology) | Wakemed Specialists Group, LLC | 3324 Six Forks Rd, Raleigh, NC 27609-7233 |
| Siddhartha A Rao | Interventional Cardiology | Wakemed Specialists Group, LLC | 3324 Six Forks Rd, Raleigh, NC 27609-7233 |
| Willard Lee Kennedy | Cardiovascular Disease (cardiology) | Wake Specialty Physicians LLC | 3324 Six Forks Rd, Raleigh, NC 27609-7233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ezra B Wilkins | Family Medicine | 4020 Wake Forest Rd, Suite 201, Raleigh, NC 27609-0009 | |
| April Myers Risinger | Physician Assistant | E Brooks Wilkins Family Medicine Pa | 4020 Wake Forest Rd, Suite 201, Raleigh, NC 27609-0009 |
| Nancy V Cross | Internal Medicine | E Brooks Wilkins Family Medicine Pa | 4020 Wake Forest Rd, Suite 201, Raleigh, NC 27609-0009 |
| Henry J Vanpala | Internal Medicine | 1631 Midtown Pl, Suite 101, Raleigh, NC 27609-1300 | |
| Richard A Laviano | Chiropractic | 6009 Falls of Neuse Rd, Raleigh, NC 27609-3525 | |
| Jeffrey William Brower | Chiropractic | Brower Chiropractic Center | 6009 Falls of Neuse Rd, Raleigh, NC 27609-3525 |
| Mary A Alexander | Internal Medicine | Duke University Affiliated Physicians Inc | 5920 Sandy Forks Rd, Suite 100, Raleigh, NC 27609-3814 |
| Alyssa R Krueger | Family Medicine | Duke University Affiliated Physicians Inc | 5920 Sandy Forks Rd, Suite 100, Raleigh, NC 27609-3814 |
| Natalie J Mclaughlin | Nurse Practitioner | Duke University Affiliated Physicians Inc | 5920 Sandy Forks Rd, Suite 100, Raleigh, NC 27609-3814 |
| Isabella D Bentsen | Internal Medicine | Duke University Affiliated Physicians Inc | 5920 Sandy Forks Rd, Suite 100, Raleigh, NC 27609-3814 |
| Find all physicians in zip 27609 | |||
| City | RALEIGH |
| Zip Code | 27609 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | RALEIGH + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| 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.