John B Blalock Jr MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9169 Issued in AL

Legal business name

JOHN B BLALOCK JR MD PC

Practice address

2660 10TH Ave S
Ste 238
Birmingham, AL 35205-1605

Phone

(205) 933-7301

Fax

(205) 933-7304

NPI assigned

Dec 6, 2005

Organization subpart

No

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

Authorized official

Name

John B Blalock Jr., MD

Title

President John B Blalock Jr MD PC

Phone

(205) 933-7301

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1699759381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S",
            "address_2": "STE 238",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051605",
            "telephone_number": "205-933-7301",
            "fax_number": "205-933-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S",
            "address_2": "STE 238",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051605",
            "telephone_number": "205-933-7301",
            "fax_number": "205-933-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B BLALOCK JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT JOHN B BLALOCK JR MD PC",
        "authorized_official_telephone_number": "205-933-7301",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "9169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AL",
            "identifier": "87171",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087171",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George L Joe, M.D.
• Heather Robertson Joe, CRNA
• Paxton McKeown Johanson, PA
• John a. Essinger II, O.D. P.C.
• John a. Farmer, D.C.
• John David Shepherd D.M.D.
• John P Calcatera DPM
• John Sasser Optician
• John Sasser Opticians
• John Wideman, MD, PC

• Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.