Laura E Blackford (NPI# 1073892428, PAC ID# 2567686819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073892428 |
| PAC ID by PECOS | 2567686819 |
| Professional Enrollment ID | I20140917003050 |
| Full Name | Laura E Blackford |
| Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Address |
2349 Lake Ave Suite 99 Plymouth IN 46563-7837 |
| Phone Number | 5749485340 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8325950843 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
| 151313 | WOODLAWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7837 | 5749485340 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | SAINT JOSEPH REGIONAL MEDICAL CENTER INC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Weston S Carter | Family Medicine | Saint Joseph Regional Medical Center Inc | 1025 Widener Ln, Saint Joseph Family Medicine At Miami Rd, South Bend, IN 46614-3242 |
| Lensa G Girsha | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 60101 Bodnar Blvd, Suite 100b, Mishawaka, IN 46544-9340 |
| Nathaniel Stewart | Internal Medicine | Saint Joseph Regional Medical Center Inc | 1122 S Ironwood Dr, River Park Family Medicine, South Bend, IN 46615-1618 |
| Bethany Rose Cohen | Family Medicine | Saint Joseph Regional Medical Center Inc | 12563 State Rd, Suite 23, Granger, IN 46530-9226 |
| Janice L Peterson | Family Medicine | Saint Joseph Regional Medical Center Inc | 232 S Main St A, Sjpn Lake Shore Clinic, Culver, IN 46511-1648 |
| Kimberley K Mendez | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 209 E Jefferson St, Plymouth Family and Internal Medicine Downtown, Plymouth, IN 46563-1861 |
| Shamiram B Badal | Family Medicine | Saint Joseph Regional Medical Center Inc | 2930 W Cleveland Rd Ext, Northwest Family Medicine, South Bend, IN 46628-6090 |
| Barbara J Kunnen | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 114 N Washington St, Bourbon Family Medicine, Bourbon, IN 46504-1623 |
| Jennifer Friberg | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 1919 Lake Ave, Suite 104, Plymouth, IN 46563-7830 |
| Gregory Buck | Family Medicine | Saint Joseph Regional Medical Center Inc | 1120 W S St, Bremen Family Medicine, Bremen, IN 46506-1849 |
| Street Address |
2349 LAKE AVE SUITE 99 |
| City | PLYMOUTH |
| State | IN |
| Zip | 46563-7837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather R Ort | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Suite 100, Plymouth, IN 46563-7836 |
| Stephen Cherry | Interventional Cardiology | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7837 |
| Craig B Miller | Family Medicine | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Suite 100, Plymouth, IN 46563-7836 |
| Anand Singla | Cardiovascular Disease (cardiology) | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7837 |
| Kandie Ann Forest | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7837 |
| Mukesh Garg | Cardiovascular Disease (cardiology) | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7837 |
| Vijay P Roy | Internal Medicine | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Suite 99, Plymouth, IN 46563-7837 |
| Aimee Lee Clady | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Suite 100, Plymouth, IN 46563-7836 |
| Sherry Carole Davis | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 2349 Lake Ave, Plymouth, IN 46563-7836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosalie M Regedanz | Physical Therapy | 440 W Jefferson St, Plymouth, IN 46563-1646 | |
| Amber D Trump | Physical Therapy | Robert J Amico Pt Inc | 576 N Oak Dr, Plymouth, IN 46563-1664 |
| Nanette M Fredericks | Clinical Social Worker | 322 W Jefferson St, Plymouth, IN 46563-1734 | |
| Mary E Schwartz | Podiatry | 116 E Washington St, Plymouth, IN 46563-1744 | |
| Jillorna Ann Uceny | Clinical Social Worker | 310 N Michigan St, Suite 208, Plymouth, IN 46563-1753 | |
| Rebecca Brice | Pediatric Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Tiffany T Richards | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Jill M Geer | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Dawn Lee Heckathorn | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Margaret T Snyder | Psychologist, Clinical | 505 Colonial Ct, Plymouth, IN 46563-1860 | |
| Find all physicians in zip 46563 | |||
| City | PLYMOUTH |
| Zip Code | 46563 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PLYMOUTH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Laura E Blackford.
| 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.