Mark R Blackwood (NPI# 1376599217, PAC ID# 8527000892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376599217 |
| PAC ID by PECOS | 8527000892 |
| Professional Enrollment ID | I20050526000242 |
| Full Name | Mark R Blackwood |
| Organization Legal Name | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Address |
36 Madbury Rd Durham NH 03824-2021 |
| Phone Number | 6038685080 |
| Gender | M |
| Credential | MD |
| Medical School | DARTMOUTH MEDICAL SCHOOL |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5496749848 |
| Number of Group Practice Members | 233 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 300018 | WENTWORTH-DOUGLASS HOSPITAL |
| 200020 | YORK HOSPITAL |
| 300029 | PORTSMOUTH REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 36 Madbury Rd, Durham, NH 03824-2021 | 6038685080 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| 60 Exeter Rd Unit, 3 Great Bay Family Practice, Newmarket, NH 03857-1906 | 6036590901 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Organization Legal Name | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Physicians | 206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Mcgann | Obstetrics/gynecology | Wentworth Douglass Physician Corporation | 789 Central Ave, Dover, NH 03820-2526 |
| Kathleen White | Nurse Practitioner | Wentworth Douglass Physician Corporation | 10 Members Way 5th Floor, Whp Internal Medicine, Dover, NH 03820-5933 |
| Deborah A Learson | Family Medicine | Wentworth Douglass Physician Corporation | 60 Exeter Rd Unit, 3 Great Bay Family Practice, Newmarket, NH 03857-1906 |
| Melissa J Iudice | Clinical Social Worker | Wentworth Douglass Physician Corporation | 15 Old Rollinsford Rd, Suite 302, Dover, NH 03820-2819 |
| Christopher D Lawson | Interventional Cardiology | Wentworth Douglass Physician Corporation | 801 Central Ave, Level1, Dover, NH 03820-2529 |
| Ritoban Sen | Vascular Surgery | Wentworth Douglass Physician Corporation | 19 Old Rollinsford Rd, Bldg B, Dover, NH 03820-2807 |
| Wilhelmina D Cabalona | Hematology/oncology | Wentworth Douglass Physician Corporation | 121 Corporate Dr, Suite 200, Portsmouth, NH 03801-6825 |
| Jennifer M Stout | Clinical Social Worker | Wentworth Douglass Physician Corporation | 798 Central Ave, Dover, NH 03820-2520 |
| Khosro Farhad | Neurology | Wentworth Douglass Physician Corporation | 67 Corporate Dr, Portsmouth, NH 03801-2847 |
| Abigail Trnovsky | Clinical Social Worker | Wentworth Douglass Physician Corporation | 65 Calef Hwy, Suite 200, Lee, NH 03861-6703 |
| Street Address |
36 MADBURY RD |
| City | DURHAM |
| State | NH |
| Zip | 03824-2021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Shuman | Family Medicine | Wentworth Douglass Physician Corporation | 36 Madbury Rd, Durham, NH 03824-2021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne C Avery | Psychologist, Clinical | 27 Bagdad Rd, Durham, NH 03824-2201 | |
| Susan L Neal | Clinical Social Worker | 17 Woodman Rd, Durham, NH 03824-2208 | |
| Sheila H Gardner | Psychologist, Clinical | 8 Jenkins Ct, Suite 405, Durham, NH 03824-2323 | |
| Wesley A Merritt | Chiropractic | 13 Jenkins Ct, Suite 110, Durham, NH 03824-2324 | |
| C. Patricia Hanley | Psychologist, Clinical | 13 Jenkins Ct, Suite 230, Durham, NH 03824-2324 | |
| Linda A Guttman | Psychologist, Clinical | 13 Jenkins Ct, Suite 230a, Durham, NH 03824-2324 | |
| Roberta Stanhope | Certified Clinical Nurse Specialist (cns) | 13 Jenkins Ct, Suite 220, Durham, NH 03824-2324 | |
| Lyssa Bayne-kim | Clinical Social Worker | 13 Jenkins Ct, Suite 246, Durham, NH 03824-2324 | |
| Ernie R Downs | Psychologist, Clinical | 13 Jenkins Ct, Suite 244, Durham, NH 03824-2324 | |
| Maria Mitchell Larkin | Registered Dietitian Or Nutrition Professional | 13 Jenkins Ct, Suite 242, Durham, NH 03824-2324 | |
| Find all physicians in zip 03824 | |||
| City | DURHAM |
| Zip Code | 03824 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DURHAM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark R Blackwood.
| 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.