THOMAS L BLACKSTONE MD NPI 1912094301

NPI Information

NPI: 1912094301
Provider Name: THOMAS L BLACKSTONE, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3505 CONVERSE DR
STE 200
WILMINGTON, NC
ZIP 28403
Phone: (910) 392-5634
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Thomas L Blackstone, MD is a pediatrics in Wilmington, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Thomas L Blackstone, MD NPI is 1912094301. 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:

3505 CONVERSE DR
STE 200
WILMINGTON, NC
ZIP 28403-132
Phone: (910) 392-5634
Fax: (910) 392-5654

The enumeration date for this NPI number is 10/6/2006 and was last updated on 6/2/2016.

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	208000000X	Pediatrics		17469	NORTH CAROLINA	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	12337276	OTHER	NORTH CAROLINA	MULTIPLAN
2	1542826	OTHER	NORTH CAROLINA	WELLPATH
3	1912094301	OTHER	NORTH CAROLINA	DOCTORS DIRECT
4	296275	OTHER	NORTH CAROLINA	MEDCOST
5	15986	OTHER	NORTH CAROLINA	BCBS OF NC
6	C76565	MEDICARE UPIN
7	FH1101875	OTHER	NORTH CAROLINA	FIRST CAROLINA CARE
8	1912094301	OTHER	NORTH CAROLINA	HEALTHSMART
9	1409483	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
10	4550753	OTHER	NORTH CAROLINA	COVENTRY NATIONAL - COVENTRY PPO
11	1542826	OTHER	NORTH CAROLINA	COVENTRY OF THE CAROLINAS
12	4359214	OTHER	NORTH CAROLINA	AETNA
13	8915986	MEDICAID	NORTH CAROLINA
14	1912094301	MEDICAID	NORTH CAROLINA
15	1791139	OTHER	NORTH CAROLINA	CIGNA GREATWEST
16	1912094301	OTHER	NORTH CAROLINA	HEALTHNET FEDERAL SERVICES
17	1912094301	OTHER	NORTH CAROLINA	HUMANA

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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