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Deactivated NPI 1922069343 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Allen Blackman , MD

Pediatrics • Canton, MI

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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. Stephen Blackman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2006
NPI Deactivation Date January 24, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Blackman, MD was a registered Pediatrics practicing in Canton, MI. Throughout an active medical career spanning 18 years, Dr. Blackman provided care at the practice location at 1051 NORTH CANTON CENTER RD until profile deactivation on 2024-01-24.

Practice Location & Contact Primary Location

Practice Address

1051 North Canton Center Rd

Canton, MI 481875097

Telephone 7348445400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Canton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.2 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
40 Specialists

Practicing in Canton, MI (2263 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301030036

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Genevieve Allen , MD

Student in an Organized Health Care Education/Training Program

NPI 1033779400

Doctor of Medicine (M.D.)

Dr. Alissa Anastasio , DO

Student in an Organized Health Care Education/Training Program

NPI 1063104834

Doctor of Osteopathic Medicine (D.O.)

Dr. Alice Chi , MD

Obstetrics & Gynecology

NPI 1063704526

Doctor of Medicine (M.D.)

Dr. Seamus O'broin , MD

Obstetrics & Gynecology

NPI 1114140605

Doctor of Medicine (M.D.)

Dr. Mark Hakim , MD

Internal Medicine

NPI 1144437526

Doctor of Medicine (M.D.)

Dr. Hartlee Lidsky , MD, MPH

Student in an Organized Health Care Education/Training Program

NPI 1174312748

Doctor of Medicine (M.D.), Master of Public Health

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 January 24, 2024

Record deactivated on January 24, 2024

NPI Profile Active February 23, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 23, 2012

Registered at 1051 NORTH CANTON CENTER RD, CANTON, MI 481875097 (Tel: 7348445400)

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Updated Business Mailing Address February 23, 2012

Registered at 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

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Provider Name / Credentials Updated February 23, 2012

Recorded as STEPHEN BLACKMAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2012

Pediatrics (License #4301030036 in MI)

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Initial NPI Registration & Enumeration March 28, 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: 1922069343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2006
Last Update: February 23, 2012
Deactivation Date: January 24, 2024

Mailing Address

3621 S State St, 700 Kms Place

Ann Arbor, MI 48108

Phone: 7349362047

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.