ANDREW T BLACKBURNE (NPI# 1437412582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437412582 |
| Entity Type | Individual |
| Full Name | ANDREW T BLACKBURNE |
| Credential | MD |
| Practice Address |
11155 Dunn Rd Ste 309e Saint Louis MO 63136 |
| Mailing Address |
12855 N 40 Dr Ste 375 Saint Louis MO 63141-8657 |
| Practice Telephone | 3147419010 |
| Mailing Telephone | 3145676071 |
| Mailing Fax Number | 3145673321 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 2017014167 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11155 Dunn Rd Ste 309e, Saint Louis, MO 63136 | 3147419010 |
| Street Address |
11155 DUNN RD STE 309E |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083902852 | Gurdarshan S Sandhu | Urology | 607 South New Ballas Road, Suite 3100, Saint Louis, MO 63141 | 2011-07-14 |
| 1265690978 | Richard Louis Mackey | Urology | 2 Bennington Ln, Saint Louis, MO 63124-1235 | 2008-05-29 |
| 1396963658 | Matthew C Kincade | Urology | 607 S New Ballas Rd Ste 3100, Saint Louis, MO 63141-8219 | 2007-04-23 |
| 1699812990 | Ramarao Kaza | Urology | 2312 Lemay Ferry Rd, Saint Louis, MO 63125-3127 | 2007-01-30 |
| 1972665461 | Urology of St. Louis, Inc. | Urology | 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 | 2006-12-14 |
| 1972600559 | Christopher Thomas Arett | Urology | 1040 N Mason Rd Ste 122, Ste 122, Saint Louis, MO 63141-6361 | 2006-09-17 |
| 1578667051 | Metropolitan Urological Specialists PC | Urology | 10296 Big Bend Rd Ste 206, Saint Louis, MO 63122 | 2006-09-12 |
| 1548286768 | Ramakrishna Venkatesh | Urology | 11133 Dunn Rd Ste 202n, Ste 202n, Saint Louis, MO 63136-6163 | 2006-07-14 |
| 1376569509 | Sam B Bhayani | Urology | 4921 Parkview Pl Ste 11c, Ste 11c, Saint Louis, MO 63110-1032 | 2006-07-14 |
| 1992778237 | St Louis University | Urology | 3655 Vista Ave, Saint Louis, MO 63110-2539 | 2006-02-08 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
Please comment or provide details below to improve the information on ANDREW T BLACKBURNE.
| 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.