Edward B Blackmon Jr. (NPI# 1114092251, PAC ID# 4688625452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1114092251 |
| PAC ID by PECOS | 4688625452 |
| Professional Enrollment ID | I20050210000140 |
| Full Name | Edward B Blackmon Jr. |
| Organization Legal Name | METHODIST PHYSICIAN PRACTICES PLLC |
| Address |
1905 E State Hwy 97 Jourdanton TX 78026-1504 |
| Phone Number | 8307693515 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8022171974 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450165 | METHODIST HOSPITAL SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1905 E State Hwy 97, Jourdanton, TX 78026-1504 | 8307693515 | METHODIST PHYSICIAN PRACTICES PLLC |
| 1907 Hwy 97 E, Jourdanton, TX 78026-1538 | METHODIST PHYSICIAN PRACTICES PLLC | |
| 2400 Round Rock Ave, Round Rock, TX 78681-4004 | 5123411000 | METHODIST PHYSICIAN PRACTICES PLLC |
| Organization Legal Name | METHODIST PHYSICIAN PRACTICES PLLC |
| Physicians | 133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory T Altemose | Cardiac Electrophysiology | Methodist Physician Practices Pllc | 301 Junction Hwy, Suite 220, Kerrville, TX 78028-4203 |
| Osama I Ahmed | Neurosurgery | Methodist Physician Practices Pllc | 12702 N Ih, Suite 35, Live Oak, TX 78233-2609 |
| Ashwini Kumar | General Surgery | Methodist Physician Practices Pllc | 1907 Hwy 97 E, Suite 220, Jourdanton, TX 78026-1538 |
| Ju-hsien Chao | Hematology/oncology | Methodist Physician Practices Pllc | 4450 Medical Dr, Fl 1, San Antonio, TX 78229-3710 |
| Dina X Goytia-leos | Internal Medicine | Methodist Physician Practices Pllc | 250 E Basse Rd, Suite 107, San Antonio, TX 78209-8409 |
| Christopher E White | General Surgery | Methodist Physician Practices Pllc | 12709 Toepperwein Rd, Suite 302, Live Oak, TX 78233-3260 |
| Michael R Gonzales | Cardiovascular Disease (cardiology) | Methodist Physician Practices Pllc | 1250 W Hondo Ave, Devine, TX 78016-1924 |
| Grace Balderas | Certified Clinical Nurse Specialist (cns) | Methodist Physician Practices Pllc | 6800 W Ih, 10 Suite 350, San Antonio, TX 78201-2044 |
| Linda L Hill | Certified Clinical Nurse Specialist (cns) | Methodist Physician Practices Pllc | 109 Falls Ct, Suite 300, Boerne, TX 78006-2980 |
| Socrates B Aramburu | Cardiovascular Disease (cardiology) | Methodist Physician Practices Pllc | 111 Dallas St, San Antonio, TX 78205-1201 |
| Street Address |
1905 E STATE HWY 97 |
| City | JOURDANTON |
| State | TX |
| Zip | 78026-1504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Lepeska | Diagnostic Radiology | South Texas Radiology Group Pa | 1905 E State Hwy 97, Jourdanton, TX 78026-1504 |
| Michael R Middlebrook | Diagnostic Radiology | South Texas Radiology Group Pa | 1905 E State Hwy 97, Jourdanton, TX 78026-1504 |
| Joe L Sanders | Diagnostic Radiology | South Texas Radiology Group Pa | 1905 E State Hwy 97, Jourdanton, TX 78026-1504 |
| Ashwin K Shetty | Diagnostic Radiology | South Texas Radiology Group Pa | 1905 E State Hwy 97, Jourdanton, TX 78026-1504 |
| Eric P. Hendrick | Diagnostic Radiology | South Texas Radiology Group Pa | 1905 E State Hwy 97, Jourdanton, TX 78026-1504 |
| Julio Otazo | Interventional Radiology | South Texas Radiology Group Pa | 1905 E State Hwy 97, Jourdanton, TX 78026-1504 |
| George Christopher Hammet | Diagnostic Radiology | South Texas Radiology Group Pa | 1905 E State Hwy 97, Jourdanton, TX 78026-1504 |
| Robert R Murray | Diagnostic Radiology | South Texas Radiology Group Pa | 1905 E State Hwy 97, Jourdanton, TX 78026-1504 |
| David M. Burshe | Diagnostic Radiology | South Texas Radiology Group Pa | 1905 E State Hwy 97, Jourdanton, TX 78026-1504 |
| Joel A Dunlap | Diagnostic Radiology | South Texas Radiology Group Pa | 1905 E State Hwy 97, Jourdanton, TX 78026-1504 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Mcfarland | Family Medicine | 1905 Hwy 97, Jourdanton, TX 78026 | |
| Abimbola M Banjo | Internal Medicine | 1905 Hwy 97 E, Jourdanton, TX 78026-0189 | |
| Melissa A Waterman | Certified Registered Nurse Anesthetist (crna) | Atascosa Anesthesia Associates, Pllc | 1905 Hwy 97 E, South Texas Regional Medical Center, Jourdanton, TX 78026-1504 |
| Oliver A Williams | Emergency Medicine | Remington Emergency Physicians Pllc | 1905 Hwy 97 E, Jourdanton, TX 78026-1504 |
| Linda G Hausenfluke | Pathology | Village Oaks Pathology Services, P.a. | 1905 Hwy 97 E, Jourdanton, TX 78026-1504 |
| Lilia P. Wojcik | Pathology | Village Oaks Pathology Services, P.a. | 1905 Hwy 97 E, Jourdanton, TX 78026-1504 |
| Nancy D Hadley | Nurse Practitioner | Tx-i Medical Services Pa | 1905 Hwy 97 E, Jourdanton, TX 78026-1504 |
| Muming Chen | Family Medicine | Hennessey Inpatient Services Pllc | 1905 Hwy 97 E, Jourdanton, TX 78026-1504 |
| Nicole M Owens | Dermatology | Dermatology Specialists of San Antonio, Pllc | 1905 Hwy 97 E, Strmc Steinie Building, Jourdanton, TX 78026-1504 |
| Vicky Torres | Nurse Practitioner | Tx-i Medical Services Pa | 1905 Hwy 97 E, Jourdanton, TX 78026-1504 |
| Find all physicians in zip 78026 | |||
| City | JOURDANTON |
| Zip Code | 78026 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | JOURDANTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Edward B Blackmon Jr..
| 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.