DAVID BLACKBURN (NPI# 1245233360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245233360 |
| Entity Type | Individual |
| Full Name | DAVID BLACKBURN |
| Practice Address |
306 Hospital Dr Corsicana TX 75110 |
| Mailing Address |
6524 Wakeforest Ave Houston TX 77005-3954 |
| Practice Telephone | 7135157795 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
F8411 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
F8411 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 038123801 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1313 Hermann Dr, Houston, TX 770047005 | 7135275043 | 7135226906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942495320 | David Paul Blackburn | Dentist | 3131 S. State Route 291, Suite A, Independence, MO 64057 | 2007-09-10 |
| 1295239408 | David Blackburn | Student in an Organized Health Care Education/Training Program | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2018-03-21 |
| 1922123702 | David Blackburn | Social Worker | 6355 Woodside Ct, Columbia, MD 21046-1071 | 2007-03-20 |
| 1184647646 | David R Blackburn | Psychologist | 2401 S 31st St, Temple, TX 76508-0001 | 2006-07-25 |
| 1316905946 | David L. Blackburn | Emergency Medicine | 1020 Hwy 16 S, Fredericksburg, TX 78624-4471 | 2006-05-03 |
| Street Address |
306 HOSPITAL DR |
| City | CORSICANA |
| State | TX |
| Zip Code | 75110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396756151 | Radiotherapy Physicians, P.a. | Radiology | 306 Hospital Dr, Corsicana, TX 75110 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881161750 | Christy Michelle Childers | Licensed Vocational Nurse | 118 S 31st Street, Corsicana, TX 75110 | 2018-10-30 |
| 1609355825 | Vi Truong | Pharmacist | 201 S 15th, Corsicana, TX 75110 | 2018-08-08 |
| 1780174383 | Nanine Marie Dickson | Counselor | 1522 N. 24th Corsicana, Tx, Corsicana, Tx, TX 75110 | 2018-05-18 |
| 1245776897 | Family and Child Guidance Center | Counselor | 317 North 12th, Suite 1, Corsicana, TX 75110 | 2017-01-06 |
| 1033567862 | Matthew Oakden | Physical Therapist | 3201 West Tx-22, Corsicana, TX 75110 | 2016-06-02 |
| 1346682572 | Byron E. Advent | Optometrist | 105 W. 7th Ave, Suite 800, Corsicana, TX 75110 | 2013-07-30 |
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| 1528361862 | Pm Management - Corsicana Nc IIi LLC | Skilled Nursing Facility | 3300 West 2nd Ave., Corsicana, TX 75110 | 2010-12-08 |
| 1245551423 | Care-a-lot Home Health Agency, Inc | Home Health | 1725 N. Beaton, Corsicana, TX 75110 | 2010-06-22 |
| 1063735561 | Tina Marie Hill | Physical Medicine & Rehabilitation | 3301 W. Park Row, Corsicana, TX 75110 | 2010-03-11 |
| Find all providers in zip 75110 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154534 | Genesiscare Landmark Texas Cancer Care Pa | Radiology | 12606 Greenville Ave Ste 160, Dallas, TX 75243-1915 | 2020-08-12 |
| 1780232090 | Yaser Hasan | Radiology | 1911 Holcombe Blvd Apt 1615, Houston, TX 77030-4190 | 2019-08-29 |
| 1932557030 | Joseph Charles Arko | Radiology | 11532 Champions Green Dr, Houston, TX 77066-1070 | 2016-05-30 |
| 1962860221 | Urology San Antonio, P.a. | Radiology | 7718 Pasteur Dr, San Antonio, TX 78229-3402 | 2016-02-02 |
| 1619355419 | Jamie Pawlowski | Radiology | 2215 E Villa Maria Rd Ste 130, Bryan, TX 77802-2585 | 2015-05-12 |
| 1073915245 | Texas Radiation Oncology Medical Group, Pllc | Radiology | 2800 State Hwy 114 East, Suite 100, Trophy Club, TX 76262 | 2014-09-19 |
| 1548660186 | Century West Houston Pllc | Radiology | 2610 W Sam Houston Pkwy S, Houston, TX 77042-0008 | 2014-09-02 |
| 1194079376 | Century Radiation Oncology Lubbock, Pllc | Radiology | 424 N. Utica, Lubbock, TX 79416-3035 | 2012-11-09 |
| 1285999698 | Robert Dery Lindberg | Radiology | 3757 Robinhood St, Houston, TX 77005-2027 | 2012-07-11 |
| 1629332770 | Twisha Chakravarty Verma | Radiology | 18100 Saint John Dr Ste 150, Houston, TX 77058-4600 | 2012-07-03 |
| Find all providers with the same taxonomy | ||||
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| 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.