MICHAEL SCOTT BLANC (NPI# 1932139953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932139953 |
| Entity Type | Individual |
| Full Name | MICHAEL SCOTT BLANC |
| Credential | M.D. |
| Practice Address |
3350 Executive Dr Suite 100 San Angelo TX 76904-6878 |
| Practice Telephone | 3252454501 |
| Practice Fax Number | 3252454008 |
| Mailing Telephone | 3252454501 |
| Mailing Fax Number | 3252454008 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2015-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
L3583 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 151420002 | 05 | |
| TX | BLUE CROSS | 8U8633 | 01 |
| TX | 151420001 | 05 | |
| TX | 151420003 | 05 |
| Street Address |
3350 EXECUTIVE DR SUITE 100 |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-6878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619408754 | Melissa Watson | Nurse Practitioner | 3350 Executive Dr, Suite 108, San Angelo, TX 76904 | 2017-03-21 |
| 1518191444 | Mary Ellen Wilson | Clinical Nurse Specialist | 3350 Executive Dr, Suite 100, San Angelo, TX 76904-6878 | 2009-05-06 |
| 1023286317 | Kai M Sun | Internal Medicine | 3350 Executive Dr, Suite 100, San Angelo, TX 76904-6878 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386653632 | Cardiology Associates of West Texas | Internal Medicine | 3180 Executive Dr Ste 102, San Angelo, TX 76904-6837 | 2006-08-05 |
| 1558328690 | Miltiadis Leon | Internal Medicine | 3180 Executive Drive, Suite 102, San Angelo, TX 76904-7610 | 2006-05-01 |
| 1134788508 | San Angelo Cardiovascular Center of Excellence, Pllc | Internal Medicine | 3180 Executive Dr Ste 102, San Angelo, TX 76904-6837 | 2019-06-10 |
| 1134321532 | Texas Cardiovascular Consultants-san Angelo, Pa | Internal Medicine | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2007-06-05 |
| 1740363761 | Gregson O Oghafua | Internal Medicine | 3180 Executive Dr, Ste 102, San Angelo, TX 76904-6837 | 2006-10-23 |
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| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
| 1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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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.