Heather Blackburn (NPI# 1013928191, PAC ID# 1658328554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1013928191 |
| PAC ID by PECOS | 1658328554 |
| Professional Enrollment ID | I20061031000449 |
| Full Name | Heather Blackburn |
| Organization Legal Name | TEXAS HEALTH BACK CARE |
| Address |
1545 E Southlake Blvd Suite 100 Southlake TX 76092-6465 |
| Phone Number | 8174429300 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 1951604313 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450888 | TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE |
| Address | Phone | Organization |
|---|---|---|
| 3142 Horizon Rd, Suite 100, Rockwall, TX 75032-7815 | 8174429300 | TEXAS HEALTH BACK CARE |
| 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6465 | 8174429300 | TEXAS HEALTH BACK CARE |
| Organization Legal Name | TEXAS HEALTH BACK CARE |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Sanders | Pain Management | Texas Health Back Care | 1120 Raintree Cir, Suite 110, Allen, TX 75013-5257 |
| Cassandra Lynn Zivney | Physical Therapy | Texas Health Back Care | 3509 Spectrum Blvd, B, Richardson, TX 75082-9703 |
| Erin M Goebel | Physical Therapy | Texas Health Back Care | 3142 Horizon Rd, Suite 100, Rockwall, TX 75032-7815 |
| Elise Tran | Physical Medicine and Rehabilitation | Texas Health Back Care | 1105 Central Expy N, Suite 100, Allen, TX 75013-6105 |
| Anton Vladimir Zaryanov | Orthopedic Surgery | Texas Health Back Care | 3142 Horizon Rd, Suite 100, Rockwall, TX 75032-7815 |
| Theresa J Adame Brooks | Physical Therapy | Texas Health Back Care | 3142 Horizon Rd, Suite 100, Rockwall, TX 75032-7815 |
| Markus A Bader | Physician Assistant | Texas Health Back Care | 3142 Horizon Rd, Suite 100, Rockwall, TX 75032-7815 |
| James C Cunningham | Physical Therapy | Texas Health Back Care | 3142 Horizon Rd, Suite 100, Rockwall, TX 75032-7815 |
| Richard Zhang | Physical Medicine and Rehabilitation | Texas Health Back Care | 3142 Horizon Rd, Suite 100, Rockwall, TX 75032-7815 |
| Edwin Andrew Shivers | Physician Assistant | Texas Health Back Care | 3142 Horizon Rd, Suite 100, Rockwall, TX 75032-7815 |
| Street Address |
1545 E SOUTHLAKE BLVD SUITE 100 |
| City | SOUTHLAKE |
| State | TX |
| Zip | 76092-6465 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne B Wallace | Anesthesiology | Champion Anesthesia Consultants Pllc | 1545 E Southlake Blvd, Southlake, TX 76092-6422 |
| Maria Valeria Simone | General Surgery | 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092-6464 | |
| Peter C Kwong | Orthopedic Surgery | 1545 E Southlake Blvd, Suite 270, Southlake, TX 76092-5564 | |
| Gayle M Jasinski | Physician Assistant | Texas Health Back Care | 1545 E Southlake Blvd, Southlake, TX 76092-6422 |
| Peter J Gootos | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 1545 E Southlake Blvd, Southlake, TX 76092-6422 |
| Theresa Menditto | Physical Therapy | Texas Health Back Care | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6465 |
| Tristan Boyd | Physical Therapy | Texas Health Back Care | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6465 |
| Frederic James Hwang | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 1545 E Southlake Blvd, Southlake, TX 76092-6422 |
| Elizabeth Chandy | Internal Medicine | 1545 E Southlake Blvd, Southlake, TX 76092-6422 | |
| David S Ackerman | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 1545 E Southlake Blvd, Southlake, TX 76092-6422 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol A Marsh | Optometry | Marsh Eye Center Inc | Marsh Eye Ctr, 670 East Southlake Blvd, Southlake, TX 76092 |
| Branon Z Marsh | Optometry | Marsh Eye Center Inc | Marsh Eye Ctr, 670 East Southlake Blvd, Southlake, TX 76092 |
| Jerry L Lugger | Plastic and Reconstructive Surgery | 3061 W Southlake Blvd, Suite 130, Southlake, TX 76092-0311 | |
| Deborah J Zanella | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Alex R Conley | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Taylor R Brooks | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Peter J Zanella Jr. | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Rawn E Bosley | Dermatology | 925 E Southlake Blvd, Suite 200, Southlake, TX 76092-1476 | |
| Victoria A Lopez | Physical Therapy | Ideal Physical Therapy of Texas LLC | 245 W State Hwy 114, Suite 320, Southlake, TX 76092-3603 |
| Asif Husain | General Surgery | 190 W State Hwy 114, Suite G, Southlake, TX 76092-3612 | |
| Find all physicians in zip 76092 | |||
| City | SOUTHLAKE |
| Zip Code | 76092 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | SOUTHLAKE + PHYSICAL MEDICINE AND REHABILITATION |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.