DANA BLACKHAM M.D. NPI 1356487029

NPI Information

NPI: 1356487029
Provider Name: DANA BLACKHAM, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9776 HOLMAN RD NW
SUITE 108
SEATTLE, WA
ZIP 98117
Phone: (206) 362-9508
Get Directions

Dana Blackham, M.D. is an obstetrics gynecology in Seattle, WA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Dana Blackham, M.D. NPI is 1356487029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9776 HOLMAN RD NW
SUITE 108
SEATTLE, WA
ZIP 98117-000
Phone: (206) 362-9508
Fax: (206) 362-1502

The NPI 1356487029 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 7/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0000X	Obstetrics & Gynecology	Obstetrics	MD00019644	WASHINGTON	No
2	207V00000X	Obstetrics & Gynecology		MD00019644	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000100486	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
2	1940105	MEDICAID	WASHINGTON
3	B398	OTHER	WASHINGTON	REGENCE BLUE SHIELD
4	911237189	OTHER	WASHINGTON	TAX ID NUMBER
5	B398	OTHER	WASHINGTON	PREMERA BLUE CROSS
6	G000100486	MEDICARE UPIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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