MR. PHILIP DAVID BLALOCK I


Address: Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-0001
Phone: 3367168207

MR. PHILIP DAVID BLALOCK I (NPI# 1154743383) 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) 1154743383
Entity Type Individual
Full Name MR. PHILIP DAVID BLALOCK I
Credential SPEECH PATHOLOGIST
Practice Address Wake Forest Baptist Health Medical Center Blvd
Winston Salem
NC 27157-0001
Practice Telephone 3367168207
Practice Fax Number 3367168868
Mailing Telephone 3367168207
Mailing Fax Number 3367168868
Enumeration Date 2014-01-07
Last Update Date 2014-01-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 439 NC Speech, Language and Hearing Service Providers

Office Location

Street Address WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BLVD
City WINSTON SALEM
State NC
Zip Code 27157-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225264948 Jordan Miller Case Orthopaedic Surgery Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-8668 2009-06-09
1033776059 Cristina Marie Pratt Student in an Organized Health Care Education/Training Program Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-0001 2019-05-24
1831651181 Shane Douglas Reynal Student in an Organized Health Care Education/Training Program Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-0001 2019-04-04
1215498605 Salvador Enrique Pena Student in an Organized Health Care Education/Training Program Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-0001 2019-03-27
1639529555 Matthew D. Sanders Anesthesiology Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-1009 2016-06-21
1639531452 Daniel Bintrim Anesthesiology Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-3215 2016-03-22
1194147389 Laura Gilbert Speech-Language Pathologist Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-0001 2014-01-08
1942647094 Andrew Peter Wong Emergency Medicine Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-0001 2013-05-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255960241 Alexandra Marie Balmaceda Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 2020-04-02
1164916680 Jorie Elizabeth Gatts Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 2018-06-18
1932606555 Alexi Rae Ellington Webb Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-04-10
1851896674 Wasim Muhammad Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-03-25
1336643535 Phillip Martin Kostelic Student in an Organized Health Care Education/Training Program Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 2018-03-21
1831693324 Aleah Bond Student in an Organized Health Care Education/Training Program Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 2018-03-20
1134644859 Ilan Binyamin Klein Urology Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 2017-08-03
1023467529 Edward John Doyle IIi Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 2016-06-07
1477917888 Jordan Mae Burner Student in an Organized Health Care Education/Training Program Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 2016-04-12
1174900476 Kate Elise Winterbottom Speech-Language Pathologist 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 2015-05-06
Find all providers in zip 27157

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285241679 Rebecca Latterman Speech-Language Pathologist 1085 Richmond Park Dr, Winston Salem, NC 27103-5384 2020-09-29
1114538568 Rachael E Campbell Speech-Language Pathologist 315 Crowne View Dr, Winston Salem, NC 27106-4046 2020-08-10
1811454762 Katherine M Romberger Speech-Language Pathologist 2457 Stratford Crossing Dr, Winston Salem, NC 27103-6567 2019-02-27
1528550696 Kathleen Mathias Speech-Language Pathologist 3120 Prytania Rd, Winston Salem, NC 27106-5021 2018-06-04
1750801676 Julia Ann Horton Speech-Language Pathologist 2000 Salemtowne Drive, Winston Salem, NC 27106 2017-06-21
1134653637 Elizabeth Long Speech-Language Pathologist 307 Upton St, Winston Salem, NC 27103-1735 2017-04-12
1528502267 Benchmark Physical Therapy of Nc, LLC Speech-Language Pathologist 5054 Peters Creek Pkwy, Ste 18, Winston Salem, NC 27127-7276 2016-12-15
1104378900 Play With Words: Speech and Language Therapy, Pllc Speech-Language Pathologist 2896 Shiloh Church Rd, Winston Salem, NC 27105-9742 2016-10-27
1750830154 Maria Xenikakis Speech-Language Pathologist 2055 Bethany Trace Ln, Winston Salem, NC 27127-6843 2016-09-26
1891248100 Angelique Dayton Speech-Language Pathologist 185 Charlois Bld, Winston Salem, NC 27103-1521 2016-08-03
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27157

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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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