DR. ERIC SCOTT BLACKWELL


Address: 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650
Phone: 2692266933

DR. ERIC SCOTT BLACKWELL (NPI# 1114970373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114970373
Entity Type Individual
Full Name DR. ERIC SCOTT BLACKWELL
Credential M.D.
Practice Address 1535 Gull Rd
Msb 015
Kalamazoo
MI 49048-1650
Practice Telephone 2692266933
Practice Fax Number 2692266949
Mailing Telephone 2692266933
Mailing Fax Number 2692266949
Enumeration Date 2006-05-18
Last Update Date 2008-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 4301072041 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 104275172 05
MI BLUE CROSS BLUE SHIELD EB072041 01
MI BCBS GROUP-THREE RIVERS HEALTH 700G560080 01
MI 104277720 05
MI 4321103-10 05

Other Providers ERIC BLACKWELL

NPI Name Taxonomy Address Enumeration
1316477136 Eric Blackwell Driver 248 Circle Dr, South Hill, VA 23970 2017-06-14
1932677333 Eric Blackwell Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2018-11-05

Office Location

Street Address 1535 GULL RD
MSB 015
City KALAMAZOO
State MI
Zip Code 49048-1650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649273855 Umakant Shivlal Doctor Internal Medicine 1535 Gull Rd, Ste 110, Kalamazoo, MI 49048-1630 2005-05-23
1417489931 Katheryn Elisabeth Clark Advanced Practice Midwife 1535 Gull Rd, Suite 250, Kalamazoo, MI 49048-1650 2017-04-03
1649714452 Susan Doan Physician Assistant 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 2016-12-13
1144673070 Kristen Dib Advanced Practice Midwife 1535 Gull Rd, Kalamazoo, MI 49048-1650 2016-07-15
1366897670 Kalamazoo Acute Care Specialists Plc Emergency Medicine 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 2016-04-25
1841670510 Elizabeth Bobo Nurse Practitioner 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 2015-06-08
1194163246 Tabitha Jane Ewert Physician Assistant 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1650 2013-06-11
1578858676 Michael Robert Mcbride Emergency Medicine 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 2011-06-16
1295979474 Lewis Jeremy Johnson Surgery 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 2009-05-01
1134361215 Michael Lee Adix II Radiology 1535 Gull Rd, Suite #200, Kalamazoo, MI 49048-1650 2009-04-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790214146 Sally Leigh Weigandt Technician, Other 5438 Lucerne Ave, Kalamazoo, MI 49048 2017-06-08
1437606670 Amanda Ezekiel Advanced Practice Midwife 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 2016-09-06
1700238987 Brittany Bittenbender Technician, Other 5840 E Cork St, Kalamazoo, MI 49048 2016-07-12
1255747176 Araena Payton Early Intervention Provider Agency 1313 Hotop Ave, Kalamazoo, MI 49048 2014-07-11
1508297151 Hope Network Eastwood House Residential Treatment Facility, Physical Disabilities 2236 Brook Drive, Kalamazoo, MI 49048 2013-12-09
1457780314 Hope Network Rehabilitation Servicesq Residential Treatment Facility, Physical Disabilities 2236 Brooke Drive, Kalamazoo, MI 49048 2013-11-01
1467889576 Aaron Van Heest Social Worker 813 Chrysler St., Kalamazoo, MI 49048 2013-10-03
1760737308 Salem A. Salem Internal Medicine Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 2012-07-19
1356523229 Borgess Medical Center Psychiatry & Neurology 1521 Gull Road, Kalamazoo, MI 49048 2007-12-03
1629290135 Robert Claude Gano Dentist 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 2007-05-03
Find all providers in zip 49048

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184002727 Cayla Williams Emergency Medicine 1009 Coolidge Ave, Kalamazoo, MI 49006-2119 2015-05-15
1063847416 Fred Lee Wedeking Emergency Medicine 1034 Crown St, Kalamazoo, MI 49006-2102 2013-09-04
1609175868 Timothy Roy Trichler Jr. Emergency Medicine 1535 Gull Rd # Msb015, Kalamazoo, MI 49048-1650 2011-03-26
1568663185 Jeremiah Joseph Ledesma Emergency Medicine 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 2007-05-30
1295886802 Scott David Cline Emergency Medicine 1850 Whites Rd Ste 3, Kalamazoo, MI 49008-4801 2007-01-12
1710060066 Jyothirmai Bobba Emergency Medicine 5973 Beatrice Dr, Kalamazoo, MI 49009-9583 2006-10-23
1437169034 Theresa A Kordish Emergency Medicine 2121 Hudson Avenue, Suite 102, Kalamazoo, MI 49008 2006-08-08
1952351165 Paul Rehkopf Emergency Medicine 1917 Argyle Ave, Kalamazoo, MI 49008-2213 2006-05-10
1578522173 Zbigniew Mark Srodulski Emergency Medicine 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008-4801 2006-03-22
1124006465 Charles M Dwan Emergency Medicine 1634 Gull Rd, Kalamazoo, MI 49048-1632 2006-01-06
Find all providers in KALAMAZOO

Competitor

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City KALAMAZOO
Zip Code 49048

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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