Michele M Blackwell, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

J9597 Issued in TX

Practice address

210 Genesis Blvd Ste B
Webster, TX 77598-1636

Phone

(832) 932-5138

Fax

(832) 932-5142

NPI assigned

Dec 8, 2006

Last updated

Jul 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Unified Women's Healthcare of Texas PLLC

  • Obstetrics & Gynecology Physician
  • Addison, TX
  • NPI 1952703373
  Medicare reassignment
• Michele Blackwell MD PA

  • Obstetrics & Gynecology Physician
  • Webster, TX
  • NPI 1164658100
  Authorized official Same address or phone
• Randall Burt MD PA

  • Specialist
  • Plano, TX
  • NPI 1336279116
  NPD
• Steven R. Macdonald, M.D., P.a.

  • Specialist
  • Plano, TX
  • NPI 1528198397
  NPD

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1336208743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GENESIS BLVD STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981636",
            "telephone_number": "832-932-5138",
            "fax_number": "832-932-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GENESIS BLVD STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981636",
            "telephone_number": "832-932-5138",
            "fax_number": "832-932-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "MICHELE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J9597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040290101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neal S Birak, PT
• Quayla Marie Bird, TECHNICIAN
• Amira Bitar
• James Allen Blackburn, PA-C
• Jeannie Ann Blackburn, ACNP
• Nicole Blatt
• Erin Blazek
• Bluesprig
• Deborah Millicent Boateng
• Rachel Boaz

• Obstetrics & Gynecology Physician in Webster, TX
• Providers in Webster, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.