Dr. John P. Blackburn , MD
Contractor • Bowling Green, KY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Blackburn has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Blackburn, MD was a registered Contractor practicing in Bowling Green, KY. Throughout an active medical career spanning 5 years, Dr. Blackburn provided care at the practice location at 1225 FAIRWAY ST until profile deactivation on 2017-11-29.
Practice Location & Contact Primary Location
1225 Fairway St
Bowling Green, KY 421032477
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Bowling Green, KY
Practicing in Bowling Green, KY (86 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Nurse Practitioner
Advanced Practice Registered Nurse
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 29, 2017
NPI status registered as active in NPPES database
Registered at 1225 FAIRWAY ST, BOWLING GREEN, KY 421032477 (Tel: 2707451517)
Registered at 1225 FAIRWAY ST, BOWLING GREEN, KY 421032477 (Tel: 2707451517)
Recorded as JOHN BLACKBURN, M.D.
Contractor (License #14227 in KY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1225 Fairway St
Bowling Green, KY 421032477
Phone: 2707451517
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