Dennis C Blackburn (NPI# 1851353205, PAC ID# 8921999590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1851353205 |
| PAC ID by PECOS | 8921999590 |
| Professional Enrollment ID | I20081223000309 |
| Full Name | Dennis C Blackburn |
| Organization Legal Name | CENTRAL COAST ORTHOPEDIC MEDICAL GROUP |
| Address |
2342 Professional Pkwy Suite 200 Santa Maria CA 93455-1690 |
| Phone Number | 8053499545 |
| Gender | M |
| Graduation Year | 1993 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8426945916 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2342 Professional Pkwy, Suite 200, Santa Maria, CA 93455-1690 | 8053499545 | CENTRAL COAST ORTHOPEDIC MEDICAL GROUP |
| Organization Legal Name | CENTRAL COAST ORTHOPEDIC MEDICAL GROUP |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Manes Caggiano | Hand Surgery | Central Coast Orthopedic Medical Group | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701 |
| Jeffrey E Spoo | Orthopedic Surgery | Central Coast Orthopedic Medical Group | 2342 Professional Pkwy, Suite 200, Santa Maria, CA 93455-1690 |
| Sean D Devine | Orthopedic Surgery | Central Coast Orthopedic Medical Group | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701 |
| Michael T Laird | Orthopedic Surgery | Central Coast Orthopedic Medical Group | 921 Oak Park Blvd, Suite 204, Pismo Beach, CA 93449-3400 |
| Stacy Dawn Mierau | Physician Assistant | Central Coast Orthopedic Medical Group | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701 |
| Paul H Castello | Orthopedic Surgery | Central Coast Orthopedic Medical Group | 2342 Professional Pkwy, Suite 200, Santa Maria, CA 93455-1690 |
| Adam A Schraub | Physician Assistant | Central Coast Orthopedic Medical Group | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701 |
| Otto J Schueckler | Orthopedic Surgery | Central Coast Orthopedic Medical Group | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701 |
| Daniel W Woods | Orthopedic Surgery | Central Coast Orthopedic Medical Group | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701 |
| Dimitri Emmanuel Delagrammaticas | Orthopedic Surgery | Central Coast Orthopedic Medical Group | 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701 |
| Street Address |
2342 PROFESSIONAL PKWY SUITE 200 |
| City | SANTA MARIA |
| State | CA |
| Zip | 93455-1690 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey E Spoo | Orthopedic Surgery | Central Coast Orthopedic Medical Group | 2342 Professional Pkwy, Suite 200, Santa Maria, CA 93455-1690 |
| Michael S Haverty | Family Medicine | 2342 Professional Pkwy, Suite 260, Santa Maria, CA 93455-6820 | |
| Ryan L Allen | Family Medicine | 2342 Professional Pkwy, Suite 260, Santa Maria, CA 93455-6820 | |
| Thomas M Dawes Jr. | Family Medicine | 2342 Professional Pkwy, Suite 310, Santa Maria, CA 93455-6819 | |
| Paul L Manosar | Physical Therapy | Star Physical Therapy of Santa Maria, Inc. | 2342 Professional Pkwy, Suite 110, Santa Maria, CA 93455-1659 |
| Patrick D Wayland | Physical Therapy | Star Physical Therapy of Santa Maria, Inc. | 2342 Professional Pkwy, Suite 110, Santa Maria, CA 93455-1659 |
| Paul H Castello | Orthopedic Surgery | Central Coast Orthopedic Medical Group | 2342 Professional Pkwy, Suite 200, Santa Maria, CA 93455-1690 |
| Joy T Vanterpool | Family Medicine | 2342 Professional Pkwy, Suite 260, Santa Maria, CA 93455-6820 | |
| Kristopher W Szalonek | Physical Therapy | Star Physical Therapy of Santa Maria, Inc. | 2342 Professional Pkwy, Santa Maria, CA 93455-1659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaiah James Coupland Roggow | Family Medicine | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Nicolas Asher Walton | Family Medicine | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Scott T Cowger | Physician Assistant | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Brittany A Jones | Physical Therapy | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Abigail J Kraemer-cole | Physician Assistant | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Peter A Krause | Family Medicine | 2151 S College Dr, Suite 203, Santa Maria, CA 93455-1305 | |
| Rachel E Hawkins | Psychologist, Clinical | Santa Barbara County County Auditor | 2115 S Centerpointe Pkwy, Santa Maria Health Care Center, Santa Maria, CA 93455-1334 |
| Robert C Miller | Chiropractic | Wayne R Miller Chiropractic Corporation | 2441 Professional Pkwy, Santa Maria, CA 93455-1684 |
| Wayne R Miller | Chiropractic | Wayne R Miller Chiropractic Corporation | 2441 Professional Pkwy, Santa Maria, CA 93455-1684 |
| Cody Alan Miller | Chiropractic | Wayne R Miller Chiropractic Corporation | 2441 Professional Pkwy, Santa Maria, CA 93455-1684 |
| Find all physicians in zip 93455 | |||
| City | SANTA MARIA |
| Zip Code | 93455 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SANTA MARIA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Dennis C 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.