WALTER LEE BLACKBURN (NPI# 1457738494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457738494 |
| Entity Type | Individual |
| Full Name | WALTER LEE BLACKBURN |
| Credential | D.O. |
| Practice Address |
1093 Royal Ct Medford OR 97504-6130 |
| Mailing Address |
Po Box 1705 Medford OR 97501-0132 |
| Practice Telephone | 5417737273 |
| Practice Fax Number | 5417732027 |
| Mailing Telephone | 5417737273 |
| Mailing Fax Number | 5417732027 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2019-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | DO192435 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500766731 | 05 |
| Street Address |
1093 ROYAL CT |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912963679 | Jill A Antoine | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2006-04-21 |
| 1326493669 | Dean Snyder | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2016-04-24 |
| 1851745228 | Darik Benson | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2016-04-21 |
| 1447637467 | Shane Michael Ahlstrom | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2015-04-28 |
| 1316331432 | Lindsay Neal Oberg | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2015-03-26 |
| 1831518877 | Jacob Dominick Flury | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2014-04-07 |
| 1245670066 | Jonathan Ward | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2013-06-25 |
| 1124361951 | Gregory Wilson Price | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2013-03-29 |
| 1477787919 | Emmanuel Edson | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2009-05-13 |
| 1205853066 | Kurt Letson | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2006-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437385531 | Alan Greenfeld | Anesthesiology | 13 Sawmill Rd, Medford, NJ 08055-8130 | 2009-06-03 |
| 1558529982 | Christine Marie Lennon | Anesthesiology | 219 Falls Ct, Medford, NJ 08055-8236 | 2008-06-02 |
| 1396775268 | John Cameron Kearns | Anesthesiology | 2620 H East Barnett Road, Medford, OR 97504-8383 | 2006-07-04 |
| 1407884281 | Gary Allan Fletcher | Anesthesiology | 2620-h East Barnett Road, Medford, OR 97504-8383 | 2006-06-29 |
| 1912963679 | Jill A Antoine | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2006-04-21 |
| 1376535302 | Joseph Mark Savino | Anesthesiology | 825 Bennett Ave, Medford, OR 97504-6715 | 2005-08-16 |
| 1245239375 | Shawn Michael Sills | Anesthesiology | 2925 Siskiyou Blvd, Medford, OR 97504 | 2005-07-20 |
| 1285185942 | Providence Health & Services Oregon | Anesthesiology | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2016-10-18 |
| 1326493669 | Dean Snyder | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2016-04-24 |
| 1851745228 | Darik Benson | Anesthesiology | 1093 Royal Ct, Medford, OR 97504-6130 | 2016-04-21 |
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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.