LISA R BLACKRICK (NPI# 1386846871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386846871 |
| Entity Type | Individual |
| Full Name | LISA R BLACKRICK |
| Credential | MD |
| Practice Address |
3627 University Blvd S Ste 550 Jacksonville FL 32216-7401 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 9043795986 |
| Practice Fax Number | 9045510282 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
ME144788 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 9043758850 |
| Street Address |
3627 UNIVERSITY BLVD S STE 550 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992363733 | Lindsey Allison Baroch | Physician Assistant | 3627 University Blvd S Ste 550, Jacksonville, FL 32216-7401 | 2019-06-05 |
| 1831559798 | Elizabeth Cook | Nurse Practitioner | 3627 University Blvd S Ste 550, Jacksonville, FL 32216-7401 | 2016-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124318209 | Renee Genova | Orthopaedic Surgery | 655 W 8th St, Jacksonville, FL 32209-6511 | 2011-04-11 |
| 1467687376 | Jonathan Robert Helms | Orthopaedic Surgery | 655 W 8th St, Jacksonville, FL 32209-6511 | 2009-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183972 | Medical Solutions | Orthopaedic Surgery | 353 Broyles Dr Se, Palm Bay, FL 32909-2355 | 2019-09-13 |
| 1235619727 | Ortho Florida, LLC | Orthopaedic Surgery | 4900 Bayou Blvd Ste 107, Pensacola, FL 32503-2543 | 2018-08-15 |
| 1467828228 | Transitional Care Medical Associates Inc. | Orthopaedic Surgery | 12989 Southern Blvd, Mod 3, Ste 202, Loxahatchee, FL 33470-9291 | 2015-08-17 |
| 1316243538 | Kevin Patrick O'halloran | Orthopaedic Surgery | 2943 Highway 77, Panama City, FL 32405-4411 | 2011-02-04 |
| 1396055299 | Raymond A Long | Orthopaedic Surgery | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1788 | 2010-10-14 |
| 1396074316 | Diplomat Orthopaedic Group, P.a. | Orthopaedic Surgery | 10600 Griffin Road, Suite 104, Cooper City, FL 33328-3208 | 2009-12-22 |
| 1558525733 | John Thomas Riehl | Orthopaedic Surgery | 3298 Summit Blvd Ste 4, Pensacola, FL 32503-4350 | 2008-07-16 |
| 1275734766 | Daniel Bayon Chan | Orthopaedic Surgery | 1150 N 35th Ave Ste 130, Hollywood, FL 33021 | 2007-05-30 |
| 1093927451 | David Lee Smith Jr. | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2007-05-05 |
| 1164586293 | Sein Lwin | Orthopaedic Surgery | 300 Se 17 Street, Suite 2r, Fort Lauderdale, FL 33316 | 2006-12-21 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.