Jesse A Blackman, Md, Pa in Fremont - Family Medicine
Jesse A Blackman, Md, Pa - NPI 1407887862
Jesse A Blackman, Md, Pa is a Family Medicine in Fremont, North Carolina. Jesse A Blackman, Md, Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jesse A Blackman, Md, Pa is 1407887862. The last update date is 2020-08-22.
Jesse A Blackman, Md, Pa's current location address is 109 S. Sycamore Street, Fremont, North Carolina. You can contact this provider via phone number 9192425550 and fax number 9192426428. The mailing address for Jesse A Blackman, Md, Pa is 109 S. Sycamore Street, Fremont, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jesse A Blackman, Md, Pa |
|---|---|
| Address | 109 S. Sycamore Street, Fremont, North Carolina |
| Phone Number | 9192425550 |
| Fax Number | 9192426428 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Blackman A Jesse |
| Credentials | M.D. |
| Telephone Number | 9192425550 |
NPI Number Detail
| NPI Number | 1407887862 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 109 S. Sycamore Street |
|---|---|
| City | Fremont |
| State | North Carolina (NC) |
| Post Code | 27830 |
| Phone Number | 9192425550 |
| Fax Number | 9192426428 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 18609 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8916000 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jesse A Blackman, Md, Pa by the Centers for Medicare & Medicaid Services?
The Jesse A Blackman, Md, Pa has been issued the NPI (National Provider Identifier) 1407887862, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jesse A Blackman, Md, Pa is physically located?
The Jesse A Blackman, Md, Pa is situated at the following address: 109 S. Sycamore Street, Fremont, NC 27830.
What is Jesse A Blackman, Md, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jesse A Blackman, Md, Pa is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Jesse A Blackman, Md, Pa receive its 1407887862 assignment from the Centers for Medicare & Medicaid Services?
The Jesse A Blackman, Md, Pa was assigned its 1407887862 by the Centers for Medicare & Medicaid Services on 2006-07-05.
As of what date were the details related to Jesse A Blackman, Md, Pa most recently updated or revised?
The information pertaining to Jesse A Blackman, Md, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.