Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174085377 Individual Practitioner Male Practitioner

Dr. Taylor Loren Blackburn , MD

Pediatrics • Eglin Afb, FL

Professional Overview & Biography Verified Profile Summary

Dr. Taylor Blackburn, MD is a registered healthcare professional specializing in Pediatrics in Eglin Afb, FL. Practice services are available at 307 BOATNER RD STE 114 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Telephone 8508838600
Associated Practice Facility / Clinic
🏢 Individual Provider Facility NPI 1376890293

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Eglin Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Eglin Afb, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101271372

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Lucas Petkewitz , DPT

Physical Therapist

NPI 1003228057

Doctor of Physical Therapy

Dr. Boden Port , DO

General Practice

NPI 1003519919

Doctor of Osteopathic Medicine (D.O.)

Dr. Eric Weiss , MD

General Practice

NPI 1013370444

Doctor of Medicine (M.D.)

Dr. Brock Jones , MD

Military Health Care Provider

NPI 1033046024

Doctor of Medicine (M.D.)

Stephen Biggs , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1033671227
Dr. Caleb Kiesow , MD

Family Medicine

NPI 1033704226

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 15, 2022

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

📍
Updated Business Mailing Address July 15, 2022

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

NPI Profile Active April 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2019

Registered at 8901 WISCONSIN AVE, BETHESDA, MD 208890004 (Tel: 8278301319)

📍
Updated Business Mailing Address April 05, 2019

Registered at 8901 WISCONSIN AVE, BETHESDA, MD 208890004

👤
Provider Name / Credentials Updated April 05, 2019

Recorded as TAYLOR BLACKBURN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Taylor Blackburn. Be the first to share your experience!

Sign in to leave a review for Dr. Taylor Blackburn

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174085377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2019
Last Update: July 15, 2022
Sole Proprietor: No

Mailing Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Phone: 8508838600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.