DR. JACK THOMAS BLACKWELL JR. (NPI# 1356332100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356332100 |
| Entity Type | Individual |
| Full Name | DR. JACK THOMAS BLACKWELL JR. |
| Credential | MD |
| Practice Address |
415 Eisenhower Dr Ste 6 Savannah GA 31406-2600 |
| Mailing Address |
1499 Fair Rd Statesboro GA 30458-1683 |
| Practice Telephone | 9123543510 |
| Practice Fax Number | 9123563391 |
| Mailing Telephone | 9124861482 |
| Mailing Fax Number | 9128712383 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2016-06-25 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 023908 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473190 | Jack Blackwell | Counselor | 2373 Vineyard Pl, Boulder, CO 80304-0649 | 2017-08-15 |
| 1215574561 | Jack Blackwell | Counselor | 215 W Beamer St, Woodland, CA 95695-2510 | 2019-12-05 |
| Street Address |
415 EISENHOWER DR STE 6 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275521668 | Anesthesiology Consultants PC | Anesthesiology | 415 Eisenhower Dr, Ste 6, Savannah, GA 31406-2600 | 2005-10-10 |
| 1407266331 | Avidcare Medical | Durable Medical Equipment & Medical Supplies | 415 Eisenhower Dr, Ste 1, Savannah, GA 31406-2600 | 2014-04-30 |
| 1417031683 | Vision, Inc. | Ophthalmology | 415 Eisenhower Dr, Suite 5, Savannah, GA 31406-2600 | 2006-10-24 |
| 1184704785 | Southern Eyecare Inc | Eyewear Supplier (Equipment, not the service) | 415 Eisenhower Dr, Suite 4, Savannah, GA 31406-2633 | 2006-10-17 |
| 1780601716 | Eugene B Mclaurin | Ophthalmology | 415 Eisenhower Dr, Suite 5, Savannah, GA 31406-2600 | 2006-07-16 |
| 1699766741 | James Leonard Routon | Anesthesiology | 415 Eisenhower Dr, Suite 6, Savannah, GA 31406-2600 | 2005-10-28 |
| 1295726354 | Hugh Anthony James | Anesthesiology | 415 Eisenhower Dr, Savannah, GA 31406-2600 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1356600803 | Joseph Cal Liljenquist | Anesthesiology | 4700 Waters Ave Dept Of, Savannah, GA 31404-6220 | 2012-05-03 |
| 1154548071 | Chirag Hasmukh Patel | Anesthesiology | 41 Park of Commerce Way Ste 200, Savannah, GA 31405-1369 | 2007-04-20 |
| 1588700892 | Gerrard Francis Macleod | Anesthesiology | 1 Shorecrest Ct, Savannah, GA 31410-1054 | 2007-01-30 |
| 1528075793 | Kenneth Albert Anderson | Anesthesiology | 6605 Abercorn St Ste 108, Savannah, GA 31405-5896 | 2006-08-01 |
| 1639191612 | Robert T. O'bannon IIi | Anesthesiology | 13040 Abercorn St, Suite 2, Savannah, GA 31419-1955 | 2006-07-25 |
| 1336170752 | Susan B George | Anesthesiology | 400 Mall Blvd, Suite T, Savannah, GA 31406-4861 | 2006-07-05 |
| 1518994847 | Janalee Davis | Anesthesiology | 11 Sundew Rd, Savannah, GA 31411-2955 | 2006-06-26 |
| 1629046842 | Ortelio Bosch | Anesthesiology | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2006-03-14 |
| 1487645545 | Larry L Corbitt | Anesthesiology | 4700 Waters Avenue, Savannah, GA 31404 | 2005-10-28 |
| Find all providers in SAVANNAH | ||||
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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.