Barton Lynn Blackorby (NPI# 1477825875, PAC ID# 9739305624) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1477825875 |
| PAC ID by PECOS | 9739305624 |
| Professional Enrollment ID | I20180731000941 |
| Full Name | Barton Lynn Blackorby |
| Organization Legal Name | RETINA CONSULTANTS LTD |
| Address |
5 Country Club Executive Park Glen Carbon IL 62034-1702 |
| Phone Number | 8008880011 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 9537259957 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5 Country Club Executive Park, Glen Carbon, IL 62034-1702 | 8008880011 | RETINA CONSULTANTS LTD |
| 1009 42nd St, Suite 3, Mt Vernon, IL 62864-6218 | 3143671181 | RETINA CONSULTANTS LTD |
| 17 The Boulevard, Richmond Heights, MO 63117-1118 | 3143671181 | RETINA CONSULTANTS LTD |
| 12106 Tesson Ferry Rd, Saint Louis, MO 63128-1729 | 3143671181 | RETINA CONSULTANTS LTD |
| Organization Legal Name | RETINA CONSULTANTS LTD |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander R Bottini | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Richard J Rothman | Ophthalmology | Retina Consultants Ltd | 1009 42nd St, Suite 3, Mt Vernon, IL 62864-6218 |
| Bradley T Smith | Ophthalmology | Retina Consultants Ltd | 226 S Woods Mill Rd, Suite 50w, Chesterfield, MO 63017-3664 |
| Daniel Paul Joseph | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Waseem Husain Ansari | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Kevin Jay Blinder | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Sabin Dang | Ophthalmology | Retina Consultants Ltd | 226 S Woods Mill Rd, Suite 50w, Chesterfield, MO 63017-3664 |
| Gautam Vangipuram | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Mark G Grand | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Alia Khan Durrani | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Street Address |
5 COUNTRY CLUB EXECUTIVE PARK |
| City | GLEN CARBON |
| State | IL |
| Zip | 62034-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Cottrell | Nurse Practitioner | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Michael J Walter | Critical Care (intensivists) | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Richard C Coy | Chiropractic | Optimum Wellness and Rehabilitation PC | 3407s State Route 157 1, Glen Carbon, IL 62034-1042 |
| Jim Jiantao Hong | Family Medicine | 104 Magnolia Dr, Suite A, Glen Carbon, IL 62034-1595 | |
| Emily A Brueggeman | Chiropractic | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 | |
| Nikole L Hunter | Chiropractic | Brueggeman Chiropractic Center LLC | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 |
| Haresh K Motwani | Family Medicine | 27 Auerbach Place, Glen Carbon, IL 62034-1596 | |
| Alisha A White | Internal Medicine | 4 Country Club Executive Park, Glen Carbon, IL 62034-1702 | |
| Ryan J Cleland | Chiropractic | Infinite Wellness Chiropractic Ltd | 220 Evergreen Ln, Unit B, Glen Carbon, IL 62034-1714 |
| Elizabeth Anne Voss | Nurse Practitioner | Infinite Wellness Chiropractic Ltd | 220 Evergreen Ln, Unit B, Glen Carbon, IL 62034-1714 |
| Find all physicians in zip 62034 | |||
| City | GLEN CARBON |
| Zip Code | 62034 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | GLEN CARBON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Barton Lynn Blackorby.
| 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.