Karen Blackmer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD09007 Issued in RI

Practice address

1351 S County TRL
Suite 301
East Greenwich, RI 02818-5079

Phone

(401) 398-0860

Fax

(401) 398-0861

NPI assigned

Jan 20, 2006

Sex

Female

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1649250069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185079",
            "telephone_number": "401-398-0860",
            "fax_number": "401-398-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185079",
            "telephone_number": "401-398-0860",
            "fax_number": "401-398-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMER",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD09007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9025188",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Bertuccio, PA-C
• Bethel Behavioral Associates of South County
• David Pedro Bica, DO
• Natasha Bica, MD
• Kristen Peters Bierwirth, PH.D.
• Meighan Dingle Blanco, NP
• Robert Joseph Block, D.D.S.
• Thipphavan Boatright, NP
• April Borges
• Marlana Joyce Borgos, PH.D.

• All providers in East Greenwich, RI
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.