Joel M Blackburn (NPI# 1801967047, PAC ID# 9830088012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1801967047 |
| PAC ID by PECOS | 9830088012 |
| Professional Enrollment ID | I20040315000558 |
| Full Name | Joel M Blackburn |
| Organization Legal Name | NES MISSOURI INC |
| Address |
315 S Osteopathy Ave Northeast Regional Medical Center Kirksville MO 63501-6401 |
| Phone Number | 6607851000 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1998 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2365403615 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260022 | NORTHEAST REGIONAL MEDICAL CENTER |
| 260047 | CAPITAL REGION MEDICAL CENTER |
| 260011 | SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY |
| Address | Phone | Organization |
|---|---|---|
| 1125 Madison St, Jefferson City, MO 65101-5227 | 5736325000 | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| 2505 Mission Dr, Jefferson City, MO 65109-9508 | 5737617000 | CAPITAL EMERGENCY PHYSICIANS, PC |
| 315 S Osteopathy Ave, Northeast Regional Medical Center, Kirksville, MO 63501-6401 | 6607851000 | NES MISSOURI INC |
| Organization Legal Name | NES MISSOURI INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karla Dora Dobbs | Family Medicine | Nes Missouri Inc | 315 S Osteopathy Ave, Northeast Regional Medical Center, Kirksville, MO 63501-6401 |
| John Daniel Uelk | Emergency Medicine | Nes Missouri Inc | 315 S Osteopathy Ave, Northeast Regional Medical Center, Kirksville, MO 63501-6401 |
| Edgar E Galicia | Hospitalist | Nes Missouri Inc | 315 S Osteopathy Ave, Northeast Regional Medical Center, Kirksville, MO 63501-6401 |
| Theodore W Collins | Emergency Medicine | Nes Missouri Inc | 315 S Osteopathy Ave, Northeast Regional Medical Center, Kirksville, MO 63501-6401 |
| Dennis L Smith | Emergency Medicine | Nes Missouri Inc | 315 S Osteopathy Ave, Northeast Regional Medical Center, Kirksville, MO 63501-6401 |
| Street Address |
315 S OSTEOPATHY AVE NORTHEAST REGIONAL MEDICAL CENTER |
| City | KIRKSVILLE |
| State | MO |
| Zip | 63501-6401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Marie Delonais Turner | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Miguel O Fernandez Barreras | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Karla Dora Dobbs | Family Medicine | Nes Missouri Inc | 315 S Osteopathy Ave, Northeast Regional Medical Center, Kirksville, MO 63501-6401 |
| Jerry D Burbee | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Levi A Kelly | Certified Registered Nurse Anesthetist (crna) | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Charlotte M Cowan | Certified Registered Nurse Anesthetist (crna) | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Jonathan D Easterwood | Anesthesiology | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Benjamin L Schrant | Anesthesiology | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Larry Nussbaum | Diagnostic Radiology | Columbia Radiology, Ltd | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Alan John Wilson | Family Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Bailey | Orthopedic Surgery | 1701 N Elson St, Kirksville, MO 63501-1129 | |
| Michelle L Woodward | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Mariah Nina Richard | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Daniel R Richert | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Emily J Finley | Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Ronald Leland Phillips | Family Practice | At Still University of Health Sciences | 800 W Jefferson, Kirksville, MO 63501-1443 |
| Tyler O'neil Eschbach | Physician Assistant | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jessica Kile Caine | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jonathan M Beary | Neurology | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Philip S Mcintire | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Find all physicians in zip 63501 | |||
| City | KIRKSVILLE |
| Zip Code | 63501 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | KIRKSVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Joel M 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.