TERRANCE L BLACKFORD (NPI# 1588750509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588750509 |
| Entity Type | Individual |
| Full Name | TERRANCE L BLACKFORD |
| Credential | MD |
| Practice Address |
1900 Bluegrass Ave Suite 203 Louisville KY 40215 |
| Mailing Address |
101 Hospital Blvd Jeffersonville IN 47130-3769 |
| Practice Telephone | 5023750009 |
| Practice Fax Number | 5023752150 |
| Mailing Telephone | 8122823899 |
| Mailing Fax Number | 8122824172 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 37196 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | 340020112 | 01 |
| CIGNA | 7616735001 | 01 | |
| RAILROAD MEDICARE | 340020112 | 01 | |
| KY | 65909285 | 05 | |
| KY | PASSPORT | 1168051 | 01 |
| ANTHEM | 000000231288 | 01 | |
| KY | 64055122 | 05 | |
| KY | PASSPORT | 1106100 | 01 |
| AETNA | 7771374 | 01 |
| Street Address |
1900 BLUEGRASS AVE SUITE 203 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133347 | Lal Kumar Tanwani | Internal Medicine | 1900 Bluegrass Ave, Suite 108, Louisville, KY 40215-1144 | 2005-09-06 |
| 1457766404 | Taryn Reynolds | Nurse Practitioner | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 | 2014-06-29 |
| 1548538002 | Lewis Hargett Md Psc | Physical Medicine & Rehabilitation | 1900 Bluegrass Ave, Ste 100, Louisville, KY 40215-1144 | 2011-12-12 |
| 1043504491 | Andrea E Porter | Nurse Practitioner | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 | 2011-06-02 |
| 1013209659 | Sara Ann Miller | Nurse Practitioner | 1900 Bluegrass Ave, Suite 300, Louisville, KY 40215-1144 | 2011-05-13 |
| 1205142387 | Lori Anne Rogers | Nurse Practitioner | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 | 2010-08-26 |
| 1083886907 | Cathy Elizabeth Collier | Nurse Practitioner | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 | 2008-03-31 |
| 1174748636 | Julie A Hurst | Nurse Practitioner | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 | 2007-04-17 |
| 1225151962 | Bluegrass Cardiology Associates Pllc | Nurse Practitioner | 1900 Bluegrass Ave, Suite 103, Louisville, KY 40215-1144 | 2007-04-09 |
| 1417043431 | Eric R Uhlenhuth | Urology | 1900 Bluegrass Ave, Suite 203, Louisville, KY 40215 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| 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 |
|---|---|---|---|---|
| 1700297728 | Ahmed Haddad | Urology | 401 East Chestnut Street, #480, Louisville, KY 40202-9110 | 2014-05-13 |
| 1184915373 | Kellen Bo Yung Choi | Urology | 401 E Chestnut St Unit 480, Louisville, KY 40202-5704 | 2011-04-22 |
| 1568566792 | Arnold M Belker | Urology | 2710 Alia Cir, Louisville, KY 40222-6494 | 2006-09-08 |
| 1619986973 | Dennis S Peppas | Urology | 4123 Dutchman's Lane, Suite 102, Louisville, KY 40207-5832 | 2006-08-05 |
| 1477511921 | Morris B Jackson | Urology | 3920 S Dupont Sq Ste C, Louisville, KY 40207-4615 | 2006-05-03 |
| 1316926298 | Jamie C. Messer | Urology | 234 E Gray St Ste 662, University of Louisville Department of Urology, Louisville, KY 40202-1921 | 2006-01-10 |
| 1841294659 | John G Hubbard | Urology | 3924 S Dupont Sq, Suite A, Louisville, KY 40207-5912 | 2005-06-09 |
| 1356991939 | Advanced Urology, Pllc | Urology | 90 Health Park Dr Ste 340, Louisville, CO 80027-9586 | 2019-09-16 |
| 1790124055 | First Urology, Psc | Urology | 8442 Dixie Hwy, Louisville, KY 40258-1140 | 2013-06-20 |
| 1598002032 | Sandhya R Rao | Urology | 234 E Gray St Ste 662, Louisville, KY 40202-1921 | 2013-01-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on TERRANCE L BLACKFORD.
| 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.