Robert L Blalock, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13193R Issued in LA

Practice address

200 W Esplanade Ave
Kenner, LA 70065-2489

Phone

(504) 471-2751

Fax

(504) 471-2764

NPI assigned

Jan 26, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275689747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 TWINVIEW LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146057",
            "telephone_number": "504-239-0301",
            "fax_number": "504-471-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-471-2751",
            "fax_number": "504-471-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "13193R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012799",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Louisiana, LLC (Fresenius Kidney Care Kenner Home Therapies)
• William Bivin, M.D.
• Olivia Catharyn Blachno
• Tonya Thomas Blackman, PHARM D
• Nicolas Christopher Blais, CRNA
• Steven P Blanchard, CRNA
• Lindsey Rochelle Bollat
• Jordan Berlier Bolner, DDS
• Bonnabel SBHC
• Bonnabel SBHC

• Internal Medicine Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.