DR. JON D BLACHLEY (NPI# 1619984440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619984440 |
| Entity Type | Individual |
| Full Name | DR. JON D BLACHLEY |
| Credential | MD |
| Practice Address |
6415 Deloache Ave Dallas TX 75225-2606 |
| Practice Telephone | 4695855209 |
| Mailing Telephone | 4695855209 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
E6238 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD | P01022707 | 01 |
| Street Address |
6415 DELOACHE AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75225-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325275 | Buckner Senior Living, Inc. | Skilled Nursing Facility | One Ventana Way, 8301 N Central Expressway, Dallas, TX 75225 | 2019-03-13 |
| 1659872224 | Brandy Morgan | Specialist/Technologist | 8100 Lomo Alto Drive, 200, Dallas, TX 75225 | 2018-02-28 |
| 1225554165 | Southwest Joint Pain Management, LLC | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd, Suite 245d, Dallas, TX 75225 | 2017-08-22 |
| 1508304627 | Paula Miltenberger, Ph.d., Pa | Psychologist | 5949 Sherry Lane, Suite 752, Dallas, TX 75225 | 2017-02-09 |
| 1194184564 | Monitoring Concepts Iom Group | Specialist/Technologist, Other | 4536 Lovers Lane, Ste 410, Dallas, TX 75225 | 2016-02-15 |
| 1285017343 | Leilani So Wiltz | Pediatrics | 3 Abbotsford Court, Dallas, TX 75225 | 2015-07-07 |
| 1932599511 | Anthony Ramos | Chiropractor | 6211 W. Northwest Hwy, Suite C-159, Dallas, TX 75225 | 2015-02-03 |
| 1750635405 | Edith R Fekete | Psychiatry & Neurology | 6335 W. Northwest Hwy. Apt. 1918, Dallas, TX 75225 | 2012-11-02 |
| 1982998019 | Child and Family Assessment Center, Pllc | Psychologist | 8117 Preston Rd., Ste. 300, Dallas, TX 75225 | 2011-06-06 |
| 1184950420 | Mwh Chiropractic | Chiropractor | 6170 Sherry Lane, Suite 300, Dallas, TX 75225 | 2009-10-21 |
| Find all providers in zip 75225 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578879318 | Edward Mims | Internal Medicine | 5359 Harry Hines Blvd, 6th Fl, Ste 600, Dallas, TX 75390 | 2010-08-30 |
| 1275847162 | Anil Singh | Internal Medicine | 221 W Colorado Blvd Ste 525, Dallas, TX 75208-2312 | 2010-08-03 |
| 1669616066 | Jose F Basora | Internal Medicine | 221 W. Colorado Blvd. Pavilion 2, Suite 525, Dallas, TX 75208 | 2009-04-29 |
| 1124213590 | Vaidehi Kaza | Internal Medicine | 5939 Harry Hines Blvs Hq1 200, Dallas, TX 75390-8550 | 2007-09-10 |
| 1457558165 | Kara N Goss | Internal Medicine | 5939 Harry Hines Blvd 6th Floor Ste 620, Dallas, TX 75390-8475 | 2007-06-27 |
| 1184836355 | Idrees Mogri | Internal Medicine | 3600 Gaston Ave Ste 960, Dallas, TX 75246-1909 | 2007-05-03 |
| 1184714768 | Todd Grazia | Internal Medicine | 3410 Worth St., Suite 250, Dallas, TX 75246 | 2006-10-13 |
| 1841217783 | Hemant Pratap Dand | Internal Medicine | 7021 Lyre Ln, Dallas, TX 75214-2832 | 2006-07-16 |
| 1164468450 | Adrian Christopher Lawrence | Internal Medicine | 5939 Harry Hines Blvd 6th Flr Ste 600, Dallas, TX 75390-4800 | 2006-06-22 |
| 1316983364 | Nilesh B Dave | Internal Medicine | 12221 Merit Dr Ste 1500, Dallas, TX 75251-2235 | 2006-06-20 |
| Find all providers in DALLAS | ||||
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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.