JOHN M BLOUGH (NPI# 1972513059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972513059 |
| Entity Type | Individual |
| Full Name | JOHN M BLOUGH |
| Credential | D.O. |
| Practice Address |
1412 Elba Hwy Troy AL 36079-0000 |
| Practice Telephone | 3345668822 |
| Practice Fax Number | 3346706723 |
| Mailing Telephone | 3345668822 |
| Mailing Fax Number | 3346706723 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2013-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO-601 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 631804037 | 05 | |
| AL | BCBS | 51530670 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689830796 | John Bernard Blough | Specialist/Technologist, Other | 2166 Candelero St, Santa Fe, NM 87505-5603 | 2008-07-29 |
| Street Address |
1412 ELBA HWY |
| City | TROY |
| State | AL |
| Zip Code | 36079-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801829643 | Griffith Guerry Walters | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-6020 | 2006-07-07 |
| 1295198687 | Amy E Brown | Pediatrics | 1412 Elba Hwy, Troy, AL 36079-6020 | 2016-04-01 |
| 1902288731 | Troy Pharmacy, LLC | Pharmacy | 1412 Elba Hwy, Troy, AL 36079-6020 | 2015-06-29 |
| 1730568171 | Dana Baldo-downs Wade | Social Worker | 1412 Elba Hwy, Troy, AL 36079-6020 | 2015-05-19 |
| 1619391265 | Jefferson Edgington | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2014-02-18 |
| 1811251010 | Brandi Bowden Dowling | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2012-07-02 |
| 1154508380 | Robert Alan Wade | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2008-01-30 |
| 1578625125 | Southeast Alabama Rural Health Associates | Clinic/Center | 1412 Elba Hwy, Troy, AL 36079 | 2006-12-13 |
| 1922018183 | Ben A Smith | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
| 1003826249 | Tonya L Richards | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629591060 | Walgreen Co | Pharmacy | 115 Southland Vlg # C, Troy, AL 36079 | 2017-07-18 |
| 1821138413 | Fleming Kirk, LLC | Optometrist | 97 Oak Park Drive, Troy, AL 36079 | 2007-02-06 |
| 1831563527 | Sabrina L Pennington | Specialist | 104 Emily Ct, Troy, AL 36079-2981 | 2015-11-18 |
| 1073985438 | Cherise Renee Crisman | Specialist/Technologist | 105 Dale Dr, Troy, AL 36079-3012 | 2015-10-26 |
| 1255622593 | Iveri Guri Zhvania | Pharmacist | 115 Southland Vlg, Troy, AL 36079-3044 | 2011-04-20 |
| 1346359742 | Harco Inc | Durable Medical Equipment & Medical Supplies | 115 Southland Vlg, Troy, AL 36079-3044 | 2006-08-30 |
| 1609214949 | Trina Gould Thompson | Audiologist | 419 Jane Rd, Apt. 2, Troy, AL 36079-3052 | 2013-06-09 |
| 1487622932 | Shanna F May | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2006-03-10 |
| 1568088722 | Giselle Pacheco Childers | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2020-06-23 |
| 1003301664 | Haley Henson | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2018-06-26 |
| Find all providers in zip 36079 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159327 | Charity Jan Martin | Family Medicine | 507 Ellis Ave, Troy, TX 76579-2515 | 2020-09-16 |
| 1871123844 | Tangerine Health Inc. | Family Medicine | 1432 Devon Ln, Troy, MI 48084-7046 | 2020-01-18 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1952830432 | Fhpg, LLC | Family Medicine | 522 Allen St Ste 203, Troy, NC 27371-2861 | 2017-06-08 |
| 1144583832 | Norah Duncan | Family Medicine | 2041 E Square Lake Rd., Suite 300, Troy, MI 48085 | 2012-06-19 |
| 1740590231 | Bhavesh Patel | Family Medicine | 619 Edwardsville Rd, Troy, IL 62294-1441 | 2010-10-18 |
| 1427289081 | Ghidah Edmon Al-khouri | Family Medicine | 627 E Maple Rd Ste 200, Troy, MI 48083-2812 | 2009-07-30 |
| 1245467224 | Anne S Pamula | Family Medicine | 68 Fenner Ave, Troy, Troy, PA 16947-1501 | 2009-06-17 |
| 1831362425 | Michael Saad Mitry | Family Medicine | 3661 Wakefield Dr, Troy, MI 48083-5358 | 2008-04-04 |
| Find all providers in TROY | ||||
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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.