Dr. John Roberts Blackburn , MD
Urology • Winnsboro, TX
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 Urology practicing in Winnsboro, TX. Throughout an active medical career spanning 17 years, Dr. Blackburn provided care at the practice location at 719 W COKE RD until profile deactivation on 2022-05-17.
Practice Location & Contact Primary Location
719 W Coke Rd
Ste 2
Winnsboro, TX 754943060
Specialty Benchmarks & Practice Insights
Comparative analytics for Urology in Winnsboro, TX
Practicing in Winnsboro, TX (1027 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Emergency Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Registered Nurse, Family Nurse Practitioner
Pediatrics
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 17, 2022
NPI status registered as active in NPPES database
Registered at 719 W COKE RD, STE 2, WINNSBORO, TX 754943060 (Tel: 9033428000)
Registered at 719 W COKE RD, STE 2, WINNSBORO, TX 754943060 (Tel: 9033428000)
Recorded as JOHN BLACKBURN, MD
Urology (License #E4208 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
719 W Coke Rd, Ste 2
Winnsboro, TX 754943060
Phone: 9033428000
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