J Waid Blackstone, M.D., LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

24790 Issued in AL

Legal business name

J WAID BLACKSTONE, M.D., LLC

Practice address

210 W Spring St
Sylacauga, AL 35150-2924

Phone

(256) 245-5203

Fax

(256) 245-5981

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Waid Blackstone, M.D.

Title

Owner

Phone

(256) 245-5203

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Young H Choi, M.D.

  • Ophthalmology Physician
  • Vestavia, AL
  • NPI 1780799684
  NPD (past)
• P. Duncan Roy Jr., O.D.

  • Optometrist
  • Childersburg, AL
  • NPI 1508936014
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285843888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W SPRING ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502924",
            "telephone_number": "256-245-5203",
            "fax_number": "256-245-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W SPRING ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502924",
            "telephone_number": "256-245-5203",
            "fax_number": "256-245-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J WAID BLACKSTONE, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKSTONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-245-5203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "24790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7514689",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Horizon Imaging, P.C.
• Myra Houghton
• Hubbard Pharmacy
• Hubbard Pharmacy
• Infusion Solutions, LLC
• Jessica Palmer, O.D., LLC (Sylacauga Eye Clinic)
• Danny R Johnson, R. PH.
• Jacob M. Johnson, PHARM D.
• Emily Johnston
• James E Jones Jr., CRNA

• Clinic/Center in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.