Timothy L Blackburn in Belton - Cardiovascular Disease

Timothy L Blackburn - NPI 1558325605

Timothy L Blackburn is a Cardiovascular Disease in Belton, Missouri. Timothy L Blackburn practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Timothy L Blackburn is 1558325605. The last update date is 2023-09-05.

Timothy L Blackburn's current location address is 17067 S Outer Rd, Belton, Missouri. You can contact this provider via phone number 8163484281 and fax number 8163484271. The mailing address for Timothy L Blackburn is 17067 S Outer Rd, Belton, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy L Blackburn
Address 17067 S Outer Rd, Belton, Missouri
Phone Number 8163484281
Fax Number 8163484271
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1558325605
Provider Enumeration Date 2006-04-14
Last Updated Date 2023-09-05

Provider Mailing Address Detail

Address 17067 S Outer Rd
City Belton
State Missouri (MO)
Post Code 640122165
Phone Number 8163484281
Fax Number 8163484271

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No R2P33
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60066709 MO RAILROAD MEDICARE
1558325605 MO --
17891028 MO BCBS-KC

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FAQs about Timothy L Blackburn

What is the unique 10-digit identifier code assigned to Timothy L Blackburn by the Centers for Medicare & Medicaid Services?

The Timothy L Blackburn has been issued the NPI (National Provider Identifier) 1558325605 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Timothy L Blackburn is located?

The Timothy L Blackburn is situated at the following address: 17067 S Outer Rd, Belton, MO, 640122165.

What is Timothy L Blackburn'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 Timothy L Blackburn is Cardiovascular Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rc0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1558325605 to Timothy L Blackburn?

The Timothy L Blackburn received its 1558325605 assignment from the Centers for Medicare & Medicaid Services on 2006-04-14.

As of what date were the details pertaining to Timothy L Blackburn last refreshed?

The information related to the Timothy L Blackburn, including its address, specialty, and other relevant details, was last updated on 2023-09-05.

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