MR. AARON T BLACKMER (NPI# 1255321972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255321972 |
| Entity Type | Individual |
| Full Name | MR. AARON T BLACKMER |
| Credential | P.A |
| Practice Address |
10502 Park Rd Suite 100 Charlotte NC 28210-8479 |
| Practice Telephone | 7045421366 |
| Practice Fax Number | 7045421036 |
| Mailing Telephone | 7045421366 |
| Mailing Fax Number | 7045421036 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9102207 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC/BS OF FLORIDA | 08153 | 01 |
| Street Address |
10502 PARK RD SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578086187 | Carolinas Medical Center | Internal Medicine | 10502 Park Rd, Suite 110, Charlotte, NC 28210-8479 | 2017-07-25 |
| 1619400033 | Metrolina Dermatology and Skin Surgery Specialists, Pllc | Dermatology | 10502 Park Rd, Charlotte, NC 28210-8479 | 2017-04-04 |
| 1497181762 | Catherine Blair | Nurse Practitioner | 10502 Park Rd, Suite 150, Charlotte, NC 28210-8479 | 2013-09-18 |
| 1518222132 | Moose Hand Center, Pllc | Surgery | 10502 Park Rd, Suite 170, Charlotte, NC 28210-8479 | 2012-07-10 |
| 1407144744 | David Olson | Internal Medicine | 10502 Park Rd, Ste 150, Charlotte, NC 28210-8479 | 2011-07-20 |
| 1669793303 | Corlan Eboh | Internal Medicine | 10502 Park Rd, Ste 150, Charlotte, NC 28210-8479 | 2010-06-17 |
| 1861719494 | Sasha Jenkins Haberle | Dermatology | 10502 Park Rd, Ste 100, Charlotte, NC 28210-8479 | 2010-04-21 |
| 1528380763 | Box Arthritis & Rheumatology of The | Clinic/Center | 10502 Park Rd, Suite 100, Charlotte, NC 28210-8479 | 2010-02-15 |
| 1265607907 | Nicholas Anthony | Internal Medicine | 10502 Park Rd, Ste 150, Charlotte, NC 28210-8479 | 2008-04-24 |
| 1821260498 | Thomas D Smith Dmd | Dentist | 10502 Park Rd, Suite 170, Charlotte, NC 28210-8479 | 2008-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1417506791 | Lauren Moir | Physician Assistant | 2700 Coltsgate Rd Ste 106, Charlotte, NC 28211-3573 | 2019-09-09 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1285172981 | Melanie Reyer | Physician Assistant | 5005 Morrowick Rd, Charlotte, NC 28226-7366 | 2017-02-02 |
| 1255877627 | Taylor King | Physician Assistant | 730 Hawthorne Ln Apt 443, Charlotte, NC 28204-2182 | 2017-01-10 |
| 1831579242 | Lindsey Chaney Taylor | Physician Assistant | 1900 Randolph Road, Suite 900, Charlotte, NC 28207-1122 | 2015-06-02 |
| 1306232079 | Rebecca Lee Strunk-lail | Physician Assistant | 1211 N. Community House Rd, Charlotte, NC 28277 | 2015-04-09 |
| 1194117432 | Harlee Palmer | Physician Assistant | 10502 Park Rd Suite 100, Charlotte, NC 28210-8479 | 2015-02-24 |
| 1154669364 | Laura A Justen | Physician Assistant | 1025 Morehead Medical Dr Ste 225, Charlotte, NC 28204-2974 | 2013-01-23 |
| Find all providers in CHARLOTTE | ||||
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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.