DR. CHARLES ROBERT BLACKWELL (NPI# 1508203225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508203225 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ROBERT BLACKWELL |
| Credential | D.O. |
| Practice Address |
Cmr 411 Box 1532 Apo AE 09112-0016 |
| Practice Telephone | 3145903990 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2016-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | OS017238 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UPIN | VAD000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508165697 | Charles William Blackwell | Pharmacist | 12216 N Nc Highway 150, Winston Salem, NC 27127-9730 | 2011-03-15 |
| 1245457373 | Charles D Blackwell | Pharmacist | 6204 Balcones Dr, Austin, TX 78731-4214 | 2007-04-19 |
| 1750492856 | Charles D Blackwell IIi | Emergency Medicine | 2525 Chicago Avenue South, Childrens Hospitals and Clinics Emergency Physicians Mp, Minneapolis, MN 55404 | 2006-08-31 |
| Street Address |
CMR 411 BOX 1532 |
| City | APO |
| State | AE |
| Zip Code | 09112-0016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
| 1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
| 1811597578 | Desirae Leann Chitishvili | Nurse's Aide | Us Army Medical Activity-bavaria Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-10-30 |
| 1891301198 | Michelle Lea Raddatz | Registered Nurse | Us Army Medical Activity-bavaria, Unit 28038 Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-09-22 |
| 1750938965 | Steven Douglas Troxtell | Counselor | Vilseck Behavioral Health Clinic Bldg 260, Apo, AE 09112 | 2019-08-22 |
| 1174012959 | Jessica Ann Morley | Physician Assistant | Meddacb Cmr 411, Building 700, Apo, AE 09112 | 2018-05-07 |
| 1952806457 | Erin Resweber | Pharmacist | Us Army Medical Activity - Bavaria, Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2018-03-27 |
| 1710403654 | Dustin Young | Physician Assistant | Rose Barracks Bldg 260, Apo, AE 09112 | 2017-08-22 |
| 1013439181 | Cheryl L Ramirez | Dental Hygienist | Gebaeude 250 Building 250, Rose Barracks Dental Clinic, Apo, AE 09112 | 2017-07-11 |
| 1275054652 | Paul Mark Allred | Family Medicine | Unit 28038 Bld 700, Apo, AE 09112 | 2017-07-06 |
| Find all providers in zip 09112 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
| 1881052793 | Victoria Okpala | General Practice | Bldg 9424 Battalion Ave, Apo, AA 76544 | 2016-02-05 |
| 1063883585 | Charl Woo | General Practice | Usag Camp Humphreys, Bldg. # 3030, Apo, AP 96271 | 2015-10-09 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1316359417 | Timothy A Gocke | General Practice | Camp Walker, Wood Clinic, Apo, AP 96218 | 2014-05-22 |
| 1942648787 | Andre C. L. Liem | General Practice | Vilseck Scmh, Bldg 701, Apo, AE 09112 | 2013-06-13 |
| 1063859809 | Lisa Shaw | General Practice | Bldg 10506 Euphrates River Valley Road, Connor Troop Medical Center, Fort Drum Ny, Apo, AA 13602 | 2013-06-03 |
| 1982959771 | Matthew Puderbaugh | General Practice | 86th Medical Group Unit 3215, Apo, AE 09094 | 2012-07-17 |
| 1740475151 | Shimul Shah Patel | General Practice | Cmr 416 Box 799, Apo, AE 09140 | 2007-09-10 |
| 1326239559 | Michael Alan Redd | General Practice | 501 Sbde, Hhc, Unit 15476, Box 146, Apo, AP 96260 | 2007-08-05 |
| Find all providers in APO | ||||
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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.