DR. ROBERT J BLACKWELL (NPI# 1407887201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407887201 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J BLACKWELL |
| Credential | M.D. |
| Practice Address |
9263 Medical Plaza Dr Suite B North Charleston SC 29406-7109 |
| Practice Telephone | 8434141224 |
| Practice Fax Number | 8434141226 |
| Mailing Telephone | 8434141224 |
| Mailing Fax Number | 8434141226 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 29700 | SC | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 057150 | GA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
53281 | TN | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
29700 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 297002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205964137 | Robert Blackwell | Dentist | 3631 Forest Ave, Unit D, Brookfield, IL 60513-1763 | 2007-03-01 |
| 1346569480 | Robert Henry Blackwell | Urology | 301 N 8th St, Pav 4b, Springfield, IL 62701-1041 | 2010-05-28 |
| 1942310180 | Robert Everard Blackwell | Orthopaedic Surgery | 3708 Northside Dr, Macon, GA 31210-2404 | 2006-08-30 |
| 1700878865 | Robert G Blackwell | Obstetrics & Gynecology | 115 Medical Dr, Palestine, TX 75801-4781 | 2005-08-16 |
| Street Address |
9263 MEDICAL PLAZA DR SUITE B |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700145042 | Cathleen Kouvolo LLC | Psychiatry & Neurology | 9263 Medical Plaza Dr, Suite A, North Charleston, SC 29406-7109 | 2012-05-07 |
| 1235401340 | Mari Asper Md, LLC | Psychiatric Residential Treatment Facility | 9263 Medical Plaza Dr, Suite A, North Charleston, SC 29406-7109 | 2012-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1598295230 | Arcis Healthcare, LLC | Physical Medicine & Rehabilitation | 1300 Hospital Dr Ste 130, Mount Pleasant, SC 29464-3204 | 2017-06-15 |
| 1770740664 | Carolina Spine and Sport Rehabiliatation Specialist,p.a. | Physical Medicine & Rehabilitation | 763 Travelers Blvd Ste D, Summerville, SC 29485-8796 | 2008-05-19 |
| 1114092897 | Craig Dyer Harris | Physical Medicine & Rehabilitation | 130 East Third North Street, Summerville, SC 29483 | 2006-11-21 |
| 1023180031 | Craig D Harris Md Pa | Physical Medicine & Rehabilitation | 310 N Gum St, Summerville, SC 29483-6874 | 2006-11-14 |
| 1255401782 | Jeffrey C. Wilkins | Physical Medicine & Rehabilitation | 631 Bellamy Ave, Unit A, Murrells Inlet, SC 29576-6459 | 2006-11-09 |
| 1700992922 | Waccamaw Pain Partners Pa | Physical Medicine & Rehabilitation | 4033 Hwy 17 Bypass, Suite 108, Murrells Inlet, SC 27576 | 2006-08-21 |
| 1669433298 | John Robert Alexander Jr. | Physical Medicine & Rehabilitation | 526 Johnnie Dodds Blvd Ste 301, Mt Pleasant, SC 29464 | 2006-03-31 |
| 1447242813 | Matthew Terzella | Physical Medicine & Rehabilitation | 303 E Wood St, Spartanburg, SC 29303-3020 | 2005-08-22 |
| 1780684829 | George Alan Bitting | Physical Medicine & Rehabilitation | 718 Lafayette Ave, Camden, SC 29020-3522 | 2005-07-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
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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.