DR. PATRICK WAYNE BLACKBURN MD NPI 1972999266

NPI Information

  • NPI: 1972999266
  • Provider Name: DR. PATRICK WAYNE BLACKBURN, MD
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6111 E ARBOR AVE
    MESA, AZ
    ZIP 85206
  • Phone: (480) 981-1326

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NPI Details

DR. Patrick Wayne Blackburn, MD is a gynecologic oncology obstetrics gynecology in Mesa, AZ with 11 years of experience. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. DR. Patrick Wayne Blackburn, MD NPI is 1972999266. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

6111 E ARBOR AVE
MESA, AZ
ZIP 85206-059
Phone: (480) 981-1326

The NPI 1972999266 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 4/13/2015 and was last updated on 7/5/2023.

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
1207V00000XObstetrics & Gynecology59600TENNESSEENo
2207VX0201XObstetrics & GynecologyGynecologic Oncology59600TENNESSEENo
3207VX0201XObstetrics & GynecologyGynecologic Oncology67910ARIZONAYes

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: 11/21/2025

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