JAMES ALLEN BLACKBURN (NPI# 1376543553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376543553 |
| Entity Type | Individual |
| Full Name | JAMES ALLEN BLACKBURN |
| Credential | PA C |
| Practice Address |
450 Medical Center Blvd Suite 201 Webster TX 77598 |
| Mailing Address |
Po Box 3567 Houston TX 77253-3567 |
| Practice Telephone | 2813166003 |
| Practice Fax Number | 2813165572 |
| Mailing Telephone | 7137905227 |
| Mailing Fax Number | 7137905505 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2018-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA02302 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8N3899 | 01 |
| TX | 2036733-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518337435 | James David Blackburn X | General Practice | 19499 State Highway 49, Jefferson, TX 75657-5251 | 2015-10-05 |
| 1437579158 | James Blackburn | Dentist | 5215 Fm 1463, 700, Katy, TX 77494 | 2014-04-21 |
| 1710230230 | James Edward Blackburn Jr. | Pharmacist | 830 W Broadway Ave, Jackson, WY 83001-8647 | 2012-10-22 |
| 1952306284 | James H Blackburn II | Specialist | 2500 Squalicum Pkwy Bldg 102, Bellingham, WA 98225-1856 | 2005-06-14 |
| 1033748413 | James Kevin Blackburn | Pharmacist | 4301 Lyons Rd, Miamisburg, OH 45342-6446 | 2020-04-07 |
| 1770994147 | James Allen Blackburn | Marriage & Family Therapist | 5750 Sunrise Blvd, Citrus Heights, CA 95610-7634 | 2014-05-19 |
| 1255623781 | James Rex Blackburn | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2011-05-02 |
| 1831492859 | James Howard Blackburn | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2010-12-14 |
| 1417090903 | James William Blackburn | Dentist | 1449 Kimber Lane, Suite 103a, Evansville, IN 47715-4086 | 2007-02-14 |
| 1265428551 | James H. Blackburn | Psychiatry & Neurology | 913 S College Rd, Suite 102, Lafayette, LA 70503-3060 | 2005-09-22 |
| Street Address |
450 MEDICAL CENTER BLVD SUITE 201 |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619277183 | Neuro-hospitalist of Clear Lake, Pllc | Psychiatry & Neurology | 450 Medical Center Blvd, Suite 600, Webster, TX 77598-4234 | 2010-10-29 |
| 1770743304 | Pediatric Specialists of Clearlake Pllc | Pediatrics | 450 Medical Center Blvd, Stuie 600, Webster, TX 77598-4234 | 2008-06-17 |
| 1831372366 | R Patrick Rudy Md Pa | Internal Medicine | 450 Medical Center Blvd, # 300, Webster, TX 77598-4233 | 2007-12-06 |
| 1891811667 | Prapand Apisarnthanarax | Dermatology | 450 Medical Center Blvd, Suite 309, Webster, TX 77598-4234 | 2007-03-22 |
| 1518096379 | Mohamed Shalaby, Md, Pa | Internal Medicine | 450 Medical Center Blvd, 510, Webster, TX 77598-4234 | 2007-03-05 |
| 1578570867 | Junaid Ahmad Khan | Internal Medicine | 450 Medical Center Blvd, Suite 203, Webster, TX 77598-4234 | 2006-08-01 |
| 1700892148 | Stephen G. Kimmel | Surgery | 450 Medical Center Blvd, Suite 600c, Webster, TX 77598 | 2006-07-31 |
| 1417982356 | Freda J Bowman | Obstetrics & Gynecology | 450 Medical Center Blvd, 310, Webster, TX 77598-4234 | 2006-07-11 |
| 1114956869 | Clear Lake Cardiovascular Care Pa | Internal Medicine | 450 Medical Center Blvd, Suite 308, Webster, TX 77598-4234 | 2006-07-02 |
| 1275562308 | Clear Lake Cardiology Associates | Specialist | 450 Medical Center Blvd, Suite 550, Webster, TX 77598-4234 | 2006-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573716 | Timothy Kersey | Physician Assistant | 511 Giving Tree Ln, Webster, NY 14580-4095 | 2020-09-22 |
| 1174090393 | Brent William Fairchild | Physician Assistant | 1081 Bright Stream Way, Webster, NY 14580 | 2018-10-25 |
| 1013367770 | Sarah Kidd | Physician Assistant | 333 N Texas Ave Ste 3200, Webster, TX 77598-4962 | 2016-06-14 |
| 1518214998 | Meghan Ann Lavigne | Physician Assistant | 477 Maplewoods Ln, Webster, NY 14580-1762 | 2012-08-05 |
| 1386825909 | Charise N Sullivan | Physician Assistant | 500 E Medical Center Blvd, Webster, TX 77598 | 2007-11-26 |
| 1225095706 | Stephanie Tarbell Huffman | Physician Assistant | 1065 Ridge Rd, Webster, NY 14580-2952 | 2006-04-27 |
| 1487639167 | Cheryl Curry Karian | Physician Assistant | 501 W Medical Center Blvd, Webster, TX 77598 | 2005-12-14 |
| 1033113519 | Lola M Pollard | Physician Assistant | 101 Peabody Dr, Webster, SD 57274 | 2005-06-13 |
| 1164425195 | Marie Denise Jarbath | Physician Assistant | 17448 Highway 3, Ste 136, Webster, TX 77598-4141 | 2005-05-23 |
| 1407454648 | Jordan Brown | Physician Assistant | 220 E Medical Center Blvd, Webster, TX 77598-4319 | 2020-10-10 |
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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.