DR. RICHARD RANDALL BLACKBURN (NPI# 1801834767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801834767 |
Entity Type | Individual |
Full Name | DR. RICHARD RANDALL BLACKBURN |
Credential | DO, MBA |
Practice Address |
805 6th Ave W Ste 100 Hendersonville NC 28739-4160 |
Mailing Address |
801 Harrison Ave Elkins WV 26241-3607 |
Practice Telephone | 8286961330 |
Practice Fax Number | 8286961075 |
Mailing Telephone | 3046373641 |
Mailing Fax Number | 3046373644 |
Enumeration Date | 2006-06-03 |
Last Update Date | 2019-10-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 041080 | GA | Other Service Providers |
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2007-01598 | NC | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
801 Harrison Ave, Elkins, WV 262413607 | 3046373641 | 3046373644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558467431 | Richard E Blackburn | Psychiatry & Neurology | 2868 Mahan Dr, Suite 5, Tallahassee, FL 32308-5468 | 2006-09-16 |
1891215760 | Richard Blackburn | Dentist | 3532 Howard Ave Ste 200, Los Alamitos, CA 90720-3699 | 2017-06-22 |
1619227162 | Richard Blackburn | Rehabilitation Practitioner | 1328 2nd St, Santa Monica, CA 90401-1122 | 2012-09-12 |
1356466049 | Richard Blackburn | Counselor | 1010 E 45th St, Shawnee, OK 74804-2202 | 2007-03-20 |
1134293400 | Richard Anthony Blackburn | Psychologist | 1400 N Union Ave, Fergus Falls, MN 56537-1248 | 2006-11-20 |
1275519878 | Richard Jay Blackburn | Family Medicine | 705 Washington St, Ravenswood, WV 26164-1729 | 2005-12-16 |
Street Address |
805 6TH AVE W STE 100 |
City | HENDERSONVILLE |
State | NC |
Zip Code | 28739-4160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710984166 | David Charles Price | Surgery | 805 6th Ave W Ste 100, Hendersonville, NC 28739 | 2005-06-30 |
1487080859 | Katherine Elizabeth Kennedy | Nurse Practitioner | 805 6th Ave W Ste 100, Hendersonville, NC 28739-4137 | 2013-09-17 |
1194033522 | John Martin Kogoy | Surgery | 805 6th Ave W Ste 100, Hendersonville, NC 28739 | 2010-09-20 |
1124330311 | Sayyad Yaseen Zia | Internal Medicine | 805 6th Ave W Ste 100, Hendersonville, NC 28739 | 2010-07-05 |
1114150612 | Madeera Kathpal | Radiology | 805 6th Ave W Ste 100, Hendersonville, NC 28739-4160 | 2009-08-31 |
1730315102 | Lynn Jackson Howie | Internal Medicine | 805 6th Ave W Ste 100, Hendersonville, NC 28739-4137 | 2009-05-29 |
1174645287 | Navin Anthony | Internal Medicine | 805 6th Ave W Ste 100, Hendersonville, NC 28739 | 2007-04-06 |
1851317739 | Douglas A Fein | Radiology | 805 6th Ave W Ste 100, Hendersonville, NC 28739-4137 | 2006-07-14 |
1811925712 | Leroy George Hoffman | Radiology | 805 6th Ave W Ste 100, Hendersonville, NC 28739-4137 | 2006-06-29 |
1578514519 | Jennifer Mcalister | Surgery | 805 6th Ave W Ste 100, Hendersonville, NC 28739-4137 | 2006-05-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891321972 | Christopher D. Planer, Dds, Pllc | Dentist | 120 Chadwick Square Ct. Ste. B, Hendersonville, NC 28739 | 2020-03-20 |
1205360401 | Lindsey Stalcup | Skilled Nursing Facility | 1510 Hebron Street, Hendersonville, NC 28739 | 2017-04-13 |
1710138458 | Beth Ellen Fink | Occupational Therapy Assistant | 1870 Pisqah Rd, Hendersonvill, NC 28739 | 2008-09-30 |
1164604468 | Susan B Anton | Social Worker | 128 Stoney Brook Road, Hendersonville, NC 28739 | 2007-11-29 |
1821280215 | America's Living Centers LLC | Custodial Care Facility | 1308 Hebron Street, Hendersonville, NC 28739 | 2007-08-10 |
1922216548 | Parris Shoe World Inc | Durable Medical Equipment & Medical Supplies | 141 Sugarloaf Road, Suite B, Hendersonville, NC 28739 | 2007-05-18 |
1912078569 | Carl Steven Edney | Dentist | 689 Blythe Street Court, Hendersonville, NC 28739 | 2006-11-13 |
1417049867 | Fifth Avenue Internal Medicine and Geriatrics Pa | Internal Medicine | 724 Fifth Avenue West, Hendersonville, NC 28739 | 2006-09-29 |
1992804124 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1707 Brevard Road, Hendersonville, NC 28739 | 2006-09-22 |
1194833301 | Deborah Lea Schusler | Dentist | 506 Park Hill Ct, Suite 3, Hendersonville, NC 28739 | 2006-08-28 |
Find all providers in zip 28739 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114150612 | Madeera Kathpal | Radiology | 805 6th Ave W Ste 100, Hendersonville, NC 28739-4160 | 2009-08-31 |
1851317739 | Douglas A Fein | Radiology | 805 6th Ave W Ste 100, Hendersonville, NC 28739-4137 | 2006-07-14 |
1811925712 | Leroy George Hoffman | Radiology | 805 6th Ave W Ste 100, Hendersonville, NC 28739-4137 | 2006-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396121745 | Orit Kaidar - Person | Radiology | 101 Manning Drive, Cb #7512, Radiation Oncology, Chapel Hill, NC 27599-7512 | 2015-08-08 |
1134547201 | Zachary J Reitman | Radiology | 2301 Erwin Rd Duke University Hospital, Durham, NC 27710 | 2014-04-04 |
1861810756 | Susan Gr Mcduff | Radiology | Dumc 20 Duke Medical Center, Durham, NC 27710-0001 | 2014-03-28 |
1679830699 | Colette Joan Shen | Radiology | 101 Manning Drive Cb 7512, Chapel Hill, NC 27599-3307 | 2012-04-15 |
1124397328 | Aaron Tyler Wild | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2011-12-19 |
1891964615 | John William Nelson | Radiology | 5524 Hawthorne Park, Raleigh, NC 27613-6006 | 2008-02-26 |
1194905984 | Daniel G. Baseman | Radiology | 70 Neely Rd, Brevard, NC 28712-4267 | 2007-11-08 |
1285844183 | John S Moody | Radiology | 501 N. Elam Avenue, Greensboro, NC 27403 | 2007-05-22 |
1326251075 | North Carolina Oncology Associates | Radiology | 4101 Macon Pond Road, Raleigh, NC 27607-6319 | 2007-05-08 |
1164552865 | Christopher Ryan Kelsey | Radiology | Morris Building, Science Drive, Room 05135, Durham, NC 27710-0001 | 2007-03-06 |
Find all providers with the same taxonomy |
City | HENDERSONVILLE |
Zip Code | 28739 |
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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.