CAMILLE DENISE BLACKLEDGE (NPI# 1427291533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427291533 |
| Entity Type | Individual |
| Full Name | CAMILLE DENISE BLACKLEDGE |
| Credential | M.D. |
| Practice Address |
3406 College Street Ste 101 Beaumont TX 77701-7770 |
| Mailing Address |
3406 College St Ste 200 Beaumont TX 77701-4612 |
| Practice Telephone | 4098131677 |
| Mailing Telephone | 4098131677 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Q5158 | TX | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 33297 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
3406 COLLEGE STREET STE 101 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77701-7770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
| 1154833135 | Shannon Denard | Naturopath | 1595 S. M.l. King Jr. Parkway, Beaumont, TX 77701 | 2017-10-30 |
| 1558818096 | Kelli North | Nurse Practitioner | 810 Hospital Dr Ste. 235, Beaumont, TX 77701 | 2016-09-01 |
| 1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
| 1811361462 | Azuka Ginigeme | Pharmacist | 3605 College Street, Walgreens Pharmacy, Beaumont, TX 77701 | 2015-11-19 |
| 1093184921 | Coastal Spine & Pain Institute, Pllc | Specialist | 3070 College Street, Suite 300, Beaumont, TX 77701 | 2015-09-22 |
| 1831584663 | H-e-b, Lp | Clinical Medical Laboratory | 3590 College Street, Beaumont, TX 77701 | 2015-03-30 |
| 1205272648 | Yalanda S Jessie | Counselor | 755 S 11th St Ste 246, Beaumont, TX 77701 | 2013-05-13 |
| 1871856443 | Henry Clay Williams | Day Training, Developmentally Disabled Services | 2316 Orange St., Beaumont, TX 77701 | 2012-06-19 |
| 1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
| Find all providers in zip 77701 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529955 | Matthew M Sooudi | Surgery | 980 Thomas Rd, Beaumont, TX 77706-4621 | 2017-10-18 |
| 1215163258 | Alex Ordonez | Surgery | 3406 College St Ste 101, Beaumont, TX 77701 | 2009-06-04 |
| 1134317969 | Garrett K Peel | Surgery | 6025 Metropolitan Dr Ste 208, Beaumont, TX 77706 | 2007-10-05 |
| 1215147707 | Eric Tyler Wooten | Surgery | 2965 Harrison St Ste 211, Beaumont, TX 77702-1149 | 2007-05-23 |
| 1497892152 | East Texas Surgical Associates, Pa | Surgery | 350 Pine Street, Suite 1415, Beaumont, TX 77701-2441 | 2007-01-31 |
| 1760558100 | Gaylon Albert Gonzales | Surgery | 2900 North Street, Suite 203, Beaumont, TX 77702 | 2006-11-28 |
| 1124193925 | Mootha V Rao | Surgery | 4480 Thomas Park, Beaumont, TX 77706-7771 | 2006-11-21 |
| 1609971951 | Southeast Texas Surgical Associates, Pa | Surgery | 755 N. 11th Street, Suite P3950, Beaumont, TX 77702-1504 | 2006-09-13 |
| 1104807627 | Charles John Gutierrez | Surgery | 350 Pine St, Suite 1415, Beaumont, TX 77701-2441 | 2005-11-10 |
| 1720082142 | Jerome F. Schrapps | Surgery | 3030 North Street, Ste 340, Beaumont, TX 77702 | 2005-06-13 |
| Find all providers in BEAUMONT | ||||
Please comment or provide details below to improve the information on CAMILLE DENISE BLACKLEDGE.
| 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.