KRISTINE A BLACKHAM MD NPI 1487695219

NPI Information

NPI: 1487695219
Provider Name: KRISTINE A BLACKHAM, MD
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Address:
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-1700
Get Directions

Kristine A Blackham, MD is a neuroradiology radiology in Cleveland, OH. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Kristine A Blackham, MD NPI is 1487695219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106-736
Phone: (216) 844-1700
Fax: (216) 286-6341

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/27/2010.

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	2085B0100X	Radiology	Body Imaging	35084181	OHIO	No
2	2085D0003X	Radiology	Diagnostic Neuroimaging	35084181	OHIO	No
3	2085R0202X	Radiology	Diagnostic Radiology	35084181	OHIO	No
4	2085U0001X	Radiology	Diagnostic Ultrasound	35084181	OHIO	No
5	2085H0002X	Radiology	Hospice and Palliative Medicine	35084181	OHIO	No
6	2085N0904X	Radiology	Nuclear Radiology	35084181	OHIO	No
7	2085P0229X	Radiology	Pediatric Radiology	35084181	OHIO	No
8	2085R0001X	Radiology	Radiation Oncology	35084181	OHIO	No
9	2085R0203X	Radiology	Therapeutic Radiology	35084181	OHIO	No
10	2085R0204X	Radiology	Vascular & Interventional Radiology	35084181	OHIO	No
11	207U00000X	Nuclear Medicine		35084181	OHIO	No
12	207UN0903X	Nuclear Medicine	In Vivo & In Vitro Nuclear Medicine	35084181	OHIO	No
13	207UN0901X	Nuclear Medicine	Nuclear Cardiology	35084181	OHIO	No
14	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy	35084181	OHIO	No
15	2085N0700X	Radiology	Neuroradiology	35084181	OHIO	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	2493707	MEDICAID	OHIO
2	BL4142693	MEDICARE PIN	OHIO
3	751556	OTHER	OHIO	AETNA
4	P00358779	OTHER	OHIO	RAILROAD MEDICARE
5	1487695219	OTHER	MICHIGAN	MI MEDICAID
6	1023171400001	MEDICAID	PENNSYLVANIA
7	000000503569	OTHER	OHIO	ANTHEM
8	732926	OTHER	OHIO	BUCKEYE
9	I16488	MEDICARE UPIN	OHIO
10	0304914	OTHER	OHIO	BCMH
11	000000206509	OTHER	OHIO	UNISON
12	363360	OTHER	OHIO	WELLCARE
13	BL4142698	MEDICARE PIN	OHIO

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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