KEVIN BLACKMON (NPI# 1538121892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538121892 |
| Entity Type | Individual |
| Full Name | KEVIN BLACKMON |
| Credential | MD |
| Practice Address |
3624 Ensign Rd Ne Ste B Olympia WA 98506-5074 |
| Mailing Address |
804 Scott Nixon Memorial Dr Augusta GA 30907-2464 |
| Practice Telephone | 3604936400 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2012-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 36968 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881014595 | Kevin Blackmon | Pharmacist | 1040 Chesterfield Hwy, Cheraw, SC 29520-7010 | 2014-04-21 |
| 1679700140 | Kevin Neely Blackmon | Radiology | 1210 W Faris Rd, Greenville, SC 29605 | 2009-06-11 |
| 1801805254 | Kevin Russell Blackmon | Physical Therapist | 8391 N Davis Hwy, Pensacola, FL 32514-6048 | 2006-08-05 |
| Street Address |
3624 ENSIGN RD NE STE B |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528020872 | William Beppu | Anesthesiology | 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506-5074 | 2006-04-03 |
| 1356681407 | Michael R. Kelson | Dentist | 3624 Ensign Rd Ne, Suite A, Olympia, WA 98506-5074 | 2013-02-27 |
| 1205150687 | Sara Michelle Ellsworth | Counselor | 3624 Ensign Rd Ne, Suite 5, Olympia, WA 98506-5074 | 2010-03-15 |
| 1558514349 | Zachary H. Chen, Md, Pllc | Clinic/Center | 3624 Ensign Rd Ne, Suite E, Olympia, WA 98506-5074 | 2008-10-24 |
| 1699989749 | Michael R Kelson, Dds, Pllc | Dentist | 3624 Ensign Rd Ne, Olympia, WA 98506-5074 | 2007-05-09 |
| 1710015136 | Melissa G. Kohler | Acupuncturist | 3624 Ensign Rd Ne, Suite B, Olympia, WA 98506-5074 | 2007-02-28 |
| 1679689780 | Zachary H Chen | Internal Medicine | 3624 Ensign Rd Ne, Suite E, Olympia, WA 98506-5074 | 2006-08-22 |
| 1609819044 | John Mark Wagner | Anesthesiology | 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506-5074 | 2006-06-14 |
| 1588607972 | Robert Wharton | Anesthesiology | 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506-5074 | 2006-06-14 |
| 1073555058 | Bryan D Wales | Anesthesiology | 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506-5074 | 2006-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| 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 |
|---|---|---|---|---|
| 1861838377 | George Dignan | Anesthesiology | 3739 Griffin Ln Se, Olympia, WA 98501 | 2013-05-13 |
| 1538106216 | Thomas S. Yang | Anesthesiology | 155 Lilly Rd Ne, Olympia, WA 98506-5028 | 2006-06-01 |
| 1528016870 | Olympia Anesthesia Associates, PC | Anesthesiology | 205 Lilly Rd Ne, Suite D, Olympia, WA 98506-5069 | 2006-05-05 |
| 1801851894 | Clayton A. Smith | Anesthesiology | 3641 Ensign Rd Ne, Suite 6b, Olympia, WA 98506-5046 | 2006-04-20 |
| 1528020872 | William Beppu | Anesthesiology | 3624 Ensign Rd Ne, Ste B, Olympia, WA 98506-5074 | 2006-04-03 |
| 1669433538 | Gregory Charles Allen | Anesthesiology | 3435 Martin Way E Ste G, Olympia, WA 98506-5071 | 2006-03-31 |
| 1487036083 | Lu Zheng | Anesthesiology | 413 Lilly Rd Ne, Olympia, WA 98506 | 2015-06-19 |
| 1013357730 | Pnw Anesthesia Services Pllc | Anesthesiology | 128 Lilly Rd Ne, Olympia, WA 98506-7400 | 2013-06-26 |
| 1154766962 | Nathan Swiss | Anesthesiology | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2013-05-07 |
| 1831454974 | Adrian Pierre Hanson | Anesthesiology | 413 Lilly Rd Ne, Olympia, WA 98506 | 2012-07-04 |
| Find all providers in OLYMPIA | ||||
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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.