DAVID MAURICE BLACKWELL


Address: 1055 N 500 W Ste 207, Provo, UT 84604-3305
Phone: 8013754263

DAVID MAURICE BLACKWELL (NPI# 1184867574) 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) 1184867574
Entity Type Individual
Full Name DAVID MAURICE BLACKWELL
Credential PA-C
Practice Address 1055 N 500 W Ste 207
Provo
UT 84604-3305
Mailing Address 1055 N 500 W
Credentialing Department
Provo
UT 84604-3305
Practice Telephone 8013754263
Practice Fax Number 8014298085
Mailing Telephone 8013548225
Mailing Fax Number 8014180941
Enumeration Date 2009-04-14
Last Update Date 2020-03-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5505835-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Other Providers DAVID BLACKWELL

NPI Name Taxonomy Address Enumeration
1982895454 David Blackwell Dentist 1788 Highway 157 N, Ste 105, Mansfield, TX 76063-3989 2007-08-08
1306067459 David Howarth Blackwell Counselor 11188 N 6000 W, Highland, UT 84003-9438 2007-05-02
1104903111 David Michael Blackwell II Family Medicine 907 N East St, Indianapolis, IN 46202-3425 2006-11-01
1245220110 David Eric Blackwell Radiology 3601 4th St, Suite 3b100, Lubbock, TX 79430-8340 2005-10-24

Office Location

Street Address 1055 N 500 W STE 207
City PROVO
State UT
Zip Code 84604-3305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205939089 Curtis C Johnson Orthopaedic Surgery 1055 N 500 W Ste 207, Provo, UT 84604-3305 2006-09-06
1841748258 Levi Richard Kohler Nurse Practitioner 1055 N 500 W Ste 207, Provo, UT 84604-3305 2016-09-14
1285073098 Benjamin Ward Ogden Orthopaedic Surgery 1055 N 500 W Ste 207, Provo, UT 84604-3305 2013-06-14
1184984320 Daniel Christensen Physician Assistant 1055 N 500 W Ste 207, Provo, UT 84604-3305 2012-05-22
1427149178 Ryan A Richards Orthopaedic Surgery 1055 N 500 W Ste 207, Provo, UT 84604-3305 2006-09-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
1093203044 Snowcap Smile Studio LLC Dentist 2230 N. University Pkwy Ste 8b, Provo, UT 84604 2018-04-25
1407359078 Ihc Health Services Inc Clinic/Center 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 2018-03-09
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
1396254165 Nicolas Sorensen Massage Therapist 247 West 2230 North #201, Provo, UT 84604 2017-09-25
1437692241 Cirque Lodge Inc Substance Abuse Rehabilitation Facility 3114 E Ida's Road, Sundance, UT 84604 2016-11-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164049201 Makenzie Bishop Physician Assistant 1077 S 810 E, Provo, UT 84606-6390 2020-07-05
1821643974 Michael Riding Physician Assistant 781 N 1100 E, Provo, UT 84606-2054 2019-08-06
1871147306 Heather Robson Dunford Physician Assistant 1055 N 500 W # 100, Provo, UT 84604-3305 2019-08-01
1730741414 Griffith Jones Physician Assistant 94 S 700 E, Provo, UT 84606-4912 2019-07-02
1770091241 Scott Schultz Physician Assistant 1055 N 500 W Ste 121, Building C, Provo, UT 86404 2018-01-17
1881106359 Kathryn R. Lovell Physician Assistant 465 N 300 W Apt 22, Provo, UT 84601-2797 2017-10-24
1558766014 Nancy Huber Physician Assistant Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 2014-10-27
1386980597 Preston Gray Physician Assistant 2230 North University Parkway #1a, Provo, UT 84604 2012-12-14
1093088445 Laurie Melissa Centeno Physician Assistant 1157 N 300 W Ste 201, Provo, UT 84604-6124 2012-02-15
1982881181 Darron Terry Smith Physician Assistant 191 N 900 E, Provo, UT 84606-3537 2008-01-30
Find all providers in PROVO

Competitor

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City PROVO
Zip Code 84604

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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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