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Deactivated NPI 1699714410 Deactivated / Inactive NPI Male Practitioner

Dr. George L Blackburn , MD, PhD

Surgery • Boston, MA

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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. George Blackburn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2006
NPI Deactivation Date April 05, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. George Blackburn, MD, PhD was a registered Surgery practicing in Boston, MA. Throughout an active medical career spanning 11 years, Dr. Blackburn provided care at the practice location at 330 BROOKLINE AVE until profile deactivation on 2017-04-05.

Practice Location & Contact Primary Location

Practice Address

330 Brookline Ave
Feldberg 880

Boston, MA 022155400

Telephone 6176672604
Fax 6176672608
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.9 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
454 Specialists

Practicing in Boston, MA (1077 Statewide)

Telehealth Adoption Rate
19.2% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 29470

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003089152

Doctor of Medicine (M.D.), MMSC

NPI 1003136771

Doctor of Medicine (M.D.)

NPI 1003261785

Doctor of Medicine (M.D.)

Dr. Julia Berg , MD

Internal Medicine

NPI 1003300765

Doctor of Medicine (M.D.)

Dr. Michael Goldstein , PhD

Psychologist - Clinical

NPI 1003410929

Doctor of Philosophy (Ph.D.)

NPI 1003439944

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 05, 2017

Record deactivated on April 05, 2017

NPI Profile Active September 10, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 10, 2007

Registered at 330 BROOKLINE AVE, FELDBERG 880, BOSTON, MA 022155400 (Tel: 6176672604)

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Updated Business Mailing Address September 10, 2007

Registered at 330 BROOKLINE AVE, FELDBERG 880, BOSTON, MA 022155400 (Tel: 6176672604)

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Provider Name / Credentials Updated September 10, 2007

Recorded as GEORGE BLACKBURN, MD, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2007

Surgery (License #29470 in MA)

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Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699714410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: September 10, 2007
Deactivation Date: April 05, 2017

Mailing Address

330 Brookline Ave, Feldberg 880

Boston, MA 022155400

Phone: 6176672604

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.