Kristine A Blackham in Cleveland - Nuclear Radiology
Kristine A Blackham - NPI 1487695219
Kristine A Blackham is a Nuclear Radiology in Cleveland, Ohio. Kristine A Blackham practices all healthcare services and medical treatments related to Nuclear Radiology. The NPI Number for Kristine A Blackham is 1487695219. The last update date is 2010-08-27.
Kristine A Blackham's current location address is 11100 Euclid Ave, Cleveland, Ohio. You can contact this provider via phone number 2168441700 and fax number 2162866341. The mailing address for Kristine A Blackham is 11100 Euclid Ave, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine A Blackham |
|---|---|
| Address | 11100 Euclid Ave, Cleveland, Ohio |
| Phone Number | 2168441700 |
| Fax Number | 2162866341 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487695219 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2010-08-27 |
Provider Mailing Address Detail
| Address | 11100 Euclid Ave |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441061736 |
| Phone Number | 2168441700 |
| Fax Number | 2162866341 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Radiology |
|---|---|
| Taxonomy | 2085N0904X |
| Licence No | 35084181 |
|
Definition: A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1023171400001 | PA | -- | |
| 732926 | OH | BUCKEYE | |
| 2493707 | OH | -- | |
| 503569 | OH | ANTHEM | |
| 304914 | OH | BCMH | |
| 751556 | OH | AETNA | |
| P00358779 | OH | RAILROAD MEDICARE | |
| 206509 | OH | UNISON | |
| 1487695219 | MI | MI MEDICAID | |
| 363360 | OH | WELLCARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kristine A Blackham by the Centers for Medicare & Medicaid Services?
The Kristine A Blackham has been issued the NPI (National Provider Identifier) 1487695219, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kristine A Blackham is physically located?
The Kristine A Blackham is physically situated at the following address: 11100 Euclid Ave, Cleveland, OH, 441061736.
What is Kristine A Blackham's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristine A Blackham is Nuclear Radiology, and the taxonomy code that categorizes this field of expertise is 2085N0904X.
On what date did the Kristine A Blackham receive the assignment of its 1487695219 from the Centers for Medicare & Medicaid Services?
The Kristine A Blackham was issued its 1487695219 by the Centers for Medicare & Medicaid Services on 2006-06-10.
As of what date were the details pertaining to Kristine A Blackham last refreshed?
The information related to the Kristine A Blackham, including its address, specialty, and other relevant details, was last updated on 2010-08-27.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA