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VAUGHN BLACKBURN DPM LLC NPI 1437531829


NPI Information

NPI: 1437531829
Provider Name: VAUGHN BLACKBURN DPM LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
5 W MAIN ST
AMELIA, OH
ZIP 45102
Phone: (513) 753-0500
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VAUGHN BLACKBURN DPM LLC is a podiatrist in Amelia, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. VAUGHN BLACKBURN DPM LLC NPI is 1437531829. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 W MAIN ST
AMELIA, OH
ZIP 45102-924
Phone: (513) 753-0500
Fax: (513) 986-0218

The provider's authorized official is Vaughn Daniel Blackburn .
The authorized official title is Dpm and has the following contact phone number (513) 753-0500.

The enumeration date for this NPI number is 6/23/2015 and was last updated on 2/12/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist36003708OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100441860MEDICAIDKENTUCKY
20139688MEDICAIDOHIO
3201368390AMEDICAIDINDIANA

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

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