Bruce A Blackhart (NPI# 1700874286, PAC ID# 9638270549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700874286 |
| PAC ID by PECOS | 9638270549 |
| Professional Enrollment ID | I20070723000331 |
| Full Name | Bruce A Blackhart |
| Address |
1425 W H St Suite 200 Oakdale CA 95361-3590 |
| Phone Number | 2098481005 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050067 | OAK VALLEY HOSPITAL DISTRICT |
| 050335 | ADVENTIST HEALTH SONORA |
| Address | Phone | Organization |
|---|---|---|
| 1425 W H St, Suite 200, Oakdale, CA 95361-3590 | 2098481005 |
| Street Address |
1425 W H ST SUITE 200 |
| City | OAKDALE |
| State | CA |
| Zip | 95361-3590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andres A Arellano | Internal Medicine | 1425 W H St, Suite 380, Oakdale, CA 95361-3592 | |
| Gretchen G Webb-kummer | Family Medicine | 1425 W H St, Suite 200, Oakdale, CA 95361-3590 | |
| Robert M Cash | Orthopedic Surgery | 1425 W H St, Suite 300, Oakdale, CA 95361-3591 | |
| Chaitanya Mahida | Internal Medicine | Chaitanya N. Mahida M.d., Inc | 1425 W H St, Suite 380, Oakdale, CA 95361-3592 |
| Mark D Cook | Family Medicine | 1425 W H St, Suite 200, Oakdale, CA 95361-3590 | |
| Upinder K Basi | Internal Medicine | Chaitanya N. Mahida M.d., Inc | 1425 W H St, Suite 380, Oakdale, CA 95361-3592 |
| Lee J Horwitz | Family Medicine | 1425 W H St, Suite 200, Oakdale, CA 95361-3590 | |
| Albert H Gelders | Family Practice | 1425 W H St, Oakdale, CA 95361-3590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie N Shaffer | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 146 Maag Rd, Oakdale, CA 95361 |
| James Ernest Winnick | Optometry | 141 California Ave, Oakdale, CA 95361-2946 | |
| Tom Francis Mihok | Optometry | 141 California Ave, Oakdale, CA 95361-2946 | |
| Tera M Goldmakher | Emergency Medicine | Oakdale Medical Group Inc | 350 S Oak Ave, Oakdale, CA 95361-3519 |
| Adin H Levine | Family Medicine | Oakdale Medical Group Inc | 350 S Oak Ave, Oakdale, CA 95361-3519 |
| Youssef B Hadweh | Family Medicine | Oakdale Medical Group Inc | 350 S Oak Ave, Oakdale, CA 95361-3519 |
| Margaret L Salmon | Emergency Medicine | Oakdale Medical Group Inc | 350 S Oak Ave, Oakdale, CA 95361-3519 |
| Fatoumata Lelenta | Family Medicine | Oakdale Medical Group Inc | 350 S Oak Ave, Oakdale, CA 95361-3519 |
| Mavis Bekoe-sakyi | Nurse Practitioner | Oakdale Medical Group Inc | 350 S Oak Ave, Oakdale, CA 95361-3519 |
| Paulalan Earl Genstler | Family Medicine | Oakdale Medical Group Inc | 350 S Oak Ave, Oakdale, CA 95361-3519 |
| Find all physicians in zip 95361 | |||
| City | OAKDALE |
| Zip Code | 95361 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OAKDALE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bruce A Blackhart.
| 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.