WARREN D BLACKBURN JR. (NPI# 1821079658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821079658 |
| Entity Type | Individual |
| Full Name | WARREN D BLACKBURN JR. |
| Credential | M.D. |
| Practice Address |
408 Clark St Ne Cullman AL 35055-1953 |
| Mailing Address |
503 Clark St Ne Cullman AL 35055-1921 |
| Practice Telephone | 2567343202 |
| Practice Fax Number | 2567344668 |
| Mailing Telephone | 2567391759 |
| Mailing Fax Number | 2567390027 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2014-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
10239 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE GROUP # | E873 | 01 |
| AL | 009982800 | 05 | |
| AL | BCBS OF AL | 51007164 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427017888 | Warren Allen Blackburn | Family Medicine | 205 Sandalwood Ave, Suite C, Louisburg, NC 27549-2679 | 2006-03-22 |
| Street Address |
408 CLARK ST NE |
| City | CULLMAN |
| State | AL |
| Zip Code | 35055-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780665703 | Angelia H Elliott | Family Medicine | 408 Clark St Ne, Cullman, AL 35055-1953 | 2005-11-08 |
| 1417420704 | Justin Wilson | Nurse Practitioner | 408 Clark St Ne, Cullman, AL 35055-1953 | 2019-01-09 |
| 1598284739 | Haley Elizabeth Mabrey | Family Medicine | 408 Clark St Ne, Cullman, AL 35055-1953 | 2017-09-19 |
| 1174063812 | Jamie Sims | Nurse Practitioner | 408 Clark St Ne, Cullman, AL 35055-1953 | 2017-02-28 |
| 1831562321 | Ashley Drake | Nurse Practitioner | 408 Clark St Ne, Cullman, AL 35055-1953 | 2015-11-05 |
| 1801212709 | Katherine Mann | Nurse Practitioner | 408 Clark St Ne, Cullman, AL 35055-1953 | 2014-03-16 |
| 1306192372 | David Edward Shupe | Family Medicine | 408 Clark St Ne, Cullman, AL 35055-1953 | 2012-07-27 |
| 1114238243 | Cullman Primary Care, PC | Family Medicine | 408 Clark St Ne, Cullman, AL 35055 | 2010-06-23 |
| 1801817523 | Randall L Quinn | Family Medicine | 408 Clark St Ne, Cullman, AL 35055-1953 | 2006-07-21 |
| 1043292055 | Sharon W Turner | Registered Nurse | 408 Clark St Ne, Cullman, AL 35055-1953 | 2005-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013482694 | Timothy Brett Hunt | Counselor | 1912 Commerce Avenue Nw, Cullman, AL 35055 | 2018-10-10 |
| 1073017919 | Kaitlin Roberts | Occupational Therapist | 1640 2nd Ave Sw, Cullman, AL 35055 | 2018-03-23 |
| 1922514488 | Dialysis Clinic Inc | Clinic/Center | 208 Broadway Drive, Sw, Cullman, AL 35055 | 2017-12-20 |
| 1447789870 | Alexis Lindsey | Specialist | 1909 Commerce Avenue Nw, Cullman, AL 35055 | 2017-06-08 |
| 1003297144 | Thomas Ricky Cosper | Counselor | 1528 Peachtree Lane Ste #104, Cullman, AL 35055 | 2015-06-15 |
| 1053574434 | Joshua Michael Robinson | Dentist | 1851 Main Ave Se, Suite A, Cullman, AL 35055 | 2008-07-07 |
| 1902088206 | Dr Henry S Beeler | Family Medicine | 1900 Main Ave, Ste 3, Cullman, AL 35055 | 2007-11-29 |
| 1982896627 | Ronald Wilson Carter | Dentist | 305 6th Ave Se, Cullman, AL 35055 | 2007-08-16 |
| 1710048640 | Home Oxygen Inc | Durable Medical Equipment & Medical Supplies | 408 2nd Avenue Nw, Suite B, Cullman, AL 35055 | 2006-12-13 |
| 1912071150 | Econo Med Inc | Pharmacy | 1824 Main Avenue Sw, Cullman, AL 35055 | 2006-11-20 |
| Find all providers in zip 35055 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1497240998 | Jackson Hospital and Clinic, Inc. | Internal Medicine | 1722 Pine St Ste 801, Montgomery, AL 36106-1108 | 2018-06-27 |
| 1154732436 | Marcum Collins | Internal Medicine | The Whitaker Clinic of Uab Hospital, 500 22nd Street South, Birmingham, AL 35233-3110 | 2014-05-08 |
| 1730497611 | William David Schwieterman | Internal Medicine | 3901 Point Rd, Mobile, AL 36619-9750 | 2010-09-14 |
| 1033371323 | Nopporn Unnoppet | Internal Medicine | 1010 1st Street North, Ste 210, Alabaster, AL 35007 | 2008-06-27 |
| 1861650988 | Ximena Del Pilar Ruiz | Internal Medicine | 2119 E South Blvd Ste 100, Montgomery, AL 36116-2496 | 2008-05-27 |
| 1215114004 | Mclain Medical Assoc PC | Internal Medicine | 2022 Brookwood Medical Assoc PC, 2022, Birmingham, AL 35209-6807 | 2008-01-24 |
| 1295825461 | Adahli E Massey | Internal Medicine | 1536 Professional Pkwy, Auburn, AL 36830 | 2006-10-16 |
| 1750472957 | D John Mountz | Internal Medicine | 1825 University Blvd, Shelby Bldg., Suite 301, Birmingham, AL 35294-0001 | 2006-09-27 |
| 1689688970 | Vijayanarayana Rao Jampala | Internal Medicine | 400 Whitesport Dr Sw Ste 101, Huntsville, AL 35801-6429 | 2006-07-29 |
| 1639103666 | Rheumatology Associates of North Alabama, PC | Internal Medicine | 720 Gallatin Street, Suite 500, Huntsville, AL 35801-4414 | 2006-07-10 |
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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.