Shawn Blackburn, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0001389 Issued in DE

Practice address

540 S Governors Ave Ste 201
Dover, DE 19904-3530

Phone

(302) 672-4600

Fax

(302) 672-4606

NPI assigned

Sep 22, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bayhealth Medical Center, Inc

  • Cardiovascular Disease Physician
  • Milford, DE
  • NPI 1063938439

  DE

  Medicare reassignment Care Compare group NPD
• Bayhealth Medical Center, Inc

  • Cardiovascular Disease Physician
  • Dover, DE
  • NPI 1417473935

  DE

  Medicare reassignment Care Compare group NPD
• Bayhealth Medical Center, Inc

  • Colon & Rectal Surgery Physician
  • Dover, DE
  • NPI 1285809509

  DE

  Medicare reassignment Care Compare group NPD (past)
• Bayhealth Medical Center, Inc

  • Medical Oncology Physician
  • Dover, DE
  • NPI 1295292183
  Care Compare group
• Bayhealth Medical Center, Inc

  • Clinic Pharmacy
  • Dover, DE
  • NPI 1336420280
  Care Compare group
• Bayhealth Medical Center, Inc

  • Anatomic Pathology Physician
  • Dover, DE
  • NPI 1609333590
  Care Compare group
• Bayhealth Medical Center, Inc

  • Radiation Oncology Physician
  • Dover, DE
  • NPI 1841757739
  Care Compare group
• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare group
• Bayhealth Medical Center, Inc.

  • Medical Oncology Physician
  • Milford, DE
  • NPI 1104383041
  Care Compare group
• Bayhealth Medical Center, Inc.

  • Clinic/Center
  • Milford, DE
  • NPI 1265422828
  Care Compare group
• Bayhealth Medical Center, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Dover, DE
  • NPI 1326463167
  Care Compare group
• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434

  Hospital

  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1194194035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S GOVERNORS AVE STE 201",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043530",
            "telephone_number": "302-672-4600",
            "fax_number": "302-672-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "SHAWN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Bishop, APRN, FNP-C
• Lori S Bishop, M.S.W., L.C.S.W.
• Marissa Bittner
• Tanya Lynn Bivins
• April Dawn Black, CNM
• Ashley Sheri Blackledge, M.D.
• Kristin Elizabeth Blackway, RD, LDN
• Allison Marie Blackwell, PA-C
• Tyera Blackwell, BCBA
• Michelle Blankenship, M.S. CCC-SLP

• All providers in Dover, DE
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.