Jordan C. a. Blackwood, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

256272 Issued in NY

Practice address

6 Hearts Way
Queensbury, NY 12804-5925

Phone

(518) 792-1233

NPI assigned

Apr 11, 2010

Last updated

Feb 21, 2022By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Morehouse School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
• Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302

Merit-based Incentive Payment System (MIPS)

Final score

88.88 of 100Reported as apm

Quality

71.44

Promoting interoperability

97.95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordan.blackwood@cdirectglensfallshosp.org

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

• Glens Falls Hospital Inc.

  dba Adirondack Medical Services

  • Family Medicine Physician
  • Glens Falls, NY
  • NPI 1336198217

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Glens Falls Hospital Inc

  dba Glens Falls Hospital Community Pharmacy

  • Community/Retail Pharmacy
  • Glens Falls, NY
  • NPI 1619990991
  NPD
• Slrhc Faculty Practice

  dba St. Luke's Medical Group

  • Internal Medicine Physician
  • New York, NY
  • NPI 1942524178
  NPD (past)

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

• Elizabethtown Community Hospital

  dba Elizabethtown Community Hospital Transport

  • Ambulance
  • Elizabethtown, NY
  • NPI 1487923637

  Hospital

  Care Compare affiliation
• Elizabethtown Community Hospital

  • Critical Access Hospital
  • Elizabethtown, NY
  • NPI 1891785184
  Care Compare affiliation
• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  Care Compare affiliation

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

{
    "created_epoch": "1270944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1285950675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HEARTS WAY",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045925",
            "telephone_number": "518-792-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "JORDAN",
        "middle_name": "C. A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-11",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "256272",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "256272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan.blackwood@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "6 Hearts Way",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128045925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandi Bishop
• Rachel Emma Bishop, RN
• Zachary Bishop
• Roger Thomas Biss, MD
• Kathryn Bitterly, LMT
• Judith Elisa Blakely, APRN: PSYCHIATRY
• Suzanne M Blood, MD
• Chris Ann Bocko-Wettersten, MASTERS IN EDUCATION
• Frances C Bollinger, MD
• Sarah J Bolster

• Cardiovascular Disease Physician in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.