MR. ROBERT EVERARD BLACKWELL (NPI# 1942310180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942310180 |
| Entity Type | Individual |
| Full Name | MR. ROBERT EVERARD BLACKWELL |
| Credential | MD |
| Practice Address |
3708 Northside Dr Macon GA 31210-2404 |
| Mailing Address |
3708 Northside Dr Macon GA 31210 |
| Practice Telephone | 4787454206 |
| Practice Fax Number | 4782545463 |
| Mailing Telephone | 4787454206 |
| Mailing Fax Number | 4782545463 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
050128 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE RAILROAD | 200041457 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205964137 | Robert Blackwell | Dentist | 3631 Forest Ave, Unit D, Brookfield, IL 60513-1763 | 2007-03-01 |
| 1346569480 | Robert Henry Blackwell | Urology | 301 N 8th St, Pav 4b, Springfield, IL 62701-1041 | 2010-05-28 |
| 1407887201 | Robert J Blackwell | Physical Medicine & Rehabilitation | 9263 Medical Plaza Dr, Suite B, North Charleston, SC 29406-7109 | 2006-07-06 |
| 1700878865 | Robert G Blackwell | Obstetrics & Gynecology | 115 Medical Dr, Palestine, TX 75801-4781 | 2005-08-16 |
| Street Address |
3708 NORTHSIDE DR |
| City | MACON |
| State | GA |
| Zip Code | 31210-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236744 | Edward Keith Grant | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2005-06-21 |
| 1295333680 | Daniel Braschler | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-10-16 |
| 1881203958 | Bobby Holcumb IIi | Physical Therapy Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-07-24 |
| 1184240426 | Jenna Walton | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-06-23 |
| 1710525886 | April Hancock | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-12-19 |
| 1942856620 | Natalia Busuttil | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-08-17 |
| 1689228918 | Cameron Tidwell | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-07-25 |
| 1255892600 | Joshua Beagle | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-28 |
| 1629536776 | Mayur Vishnubhai Patel | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-07 |
| 1043776891 | Lauren Clark | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285052977 | Maharsh K Patel | Orthopaedic Surgery | 3708 Northside Dr, Macon, GA 31210-2404 | 2014-03-31 |
| 1356489850 | Macon Orthopaedic & Hand Center, Pa | Orthopaedic Surgery | 3708 Northside Drive, Macon, GA 31210 | 2007-02-05 |
| 1447354154 | Guy Donald Foulkes | Orthopaedic Surgery | 3708 Northside Dr, Macon, GA 31210-2404 | 2006-09-12 |
| 1346350592 | John Warren Sapp | Orthopaedic Surgery | 3708 Northside Drive, Macon, GA 31210 | 2006-08-30 |
| 1013027267 | Waldo Emerson Floyd IIi | Orthopaedic Surgery | 3708 Northside Dr, Macon, GA 31210-2404 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047005 | Orthoatlanta, LLC | Orthopaedic Surgery | 3929 Peachtree Rd Ne Ste 250, Brookhaven, GA 30319-3374 | 2020-09-09 |
| 1720350747 | Orthoatlanta, LLC | Orthopaedic Surgery | 620 Cherokee St Ne Ste 300, Marietta, GA 30060-7202 | 2012-02-07 |
| 1366734410 | Erika Lynn Templeton | Orthopaedic Surgery | 980 Johnson Ferry Rd Ste 1020, Atlanta, GA 30342-1609 | 2011-05-09 |
| 1497944565 | Michael S Shuler | Orthopaedic Surgery | 1765 Old West Broad Street, Building 2 Suite 200, Athens, GA 30606-2887 | 2007-10-15 |
| 1902963317 | Alain Arthur Czaykowsky | Orthopaedic Surgery | 920 River Centre Pl, Suite 100, Lawrenceville, GA 30043-7320 | 2007-01-03 |
| 1083723738 | T. Rex Orthopaedics, PC | Orthopaedic Surgery | 1014 Sycamore Dr Ste B, Decatur, GA 30030 | 2006-08-29 |
| 1982618294 | Orthoatlanta, LLC | Orthopaedic Surgery | 900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035 | 2006-07-29 |
| 1205857307 | Jim W Roderique | Orthopaedic Surgery | 955 Spring St Nw, Atlanta, GA 30309-3821 | 2006-07-22 |
| 1982620456 | John Seiler IIi | Orthopaedic Surgery | 2061 Peachtree Rd Ne Ste 500, Atlanta, GA 30309-1446 | 2006-07-15 |
| 1811913643 | S Houston Payne Jr. | Orthopaedic Surgery | 2061 Peachtree Rd. Ne, Suite 500, Atlanta, GA 30309-1446 | 2006-07-14 |
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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.