Glenn A Blackwood in Indianapolis - Diagnostic Radiology
Glenn A Blackwood - NPI 1134162795
Glenn A Blackwood is a Diagnostic Radiology in Indianapolis, Indiana. Glenn A Blackwood practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Glenn A Blackwood is 1134162795. The last update date is 2019-12-27.
Glenn A Blackwood's current location address is 250 N Shadeland Ave, Indianapolis, Indiana. You can contact this provider via phone number 3179632720 and fax number 3179624343. The mailing address for Glenn A Blackwood is 250 N Shadeland Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn A Blackwood |
|---|---|
| Address | 250 N Shadeland Ave, Indianapolis, Indiana |
| Phone Number | 3179632720 |
| Fax Number | 3179624343 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134162795 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2019-12-27 |
Provider Mailing Address Detail
| Address | 250 N Shadeland Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462194959 |
| Phone Number | 3179632720 |
| Fax Number | 3179624343 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 01056409A |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200404230 | IN | -- | |
| P00175757 | IN | RAILROAD MEDICARE | |
| 246029 | IN | ANTHEM BCBS | |
| P00130615 | IN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Glenn A Blackwood?
The Glenn A Blackwood has been issued the NPI (National Provider Identifier) 1134162795 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Glenn A Blackwood's facilities are situated?
The facilities of Glenn A Blackwood are physically located at the following address: 250 N Shadeland Ave, Indianapolis, IN, 462194959.
What is the Glenn A Blackwood's specialty and taxonomy code?
The Glenn A Blackwood's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134162795 to Glenn A Blackwood?
The Glenn A Blackwood received its 1134162795 assignment from the Centers for Medicare & Medicaid Services on 2006-06-13.
When was the information regarding Glenn A Blackwood, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Glenn A Blackwood, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-12-27.
NPI Number: 1225033541
Address: 261 Old York Rd, Jenkintown, PA