Robert C Blackwood MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101051005 Issued in VA

Legal business name

ROBERT C BLACKWOOD MD INC

Doing business as

Family Medicine Center

Practice address

1201 Lake James Dr
Suite 200
Virginia Beach, VA 23464-6780

Phone

(757) 523-0022

Fax

(888) 411-0570

NPI assigned

Jul 30, 2007

Last updated

Aug 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine Anne Blackwood

Title

Practice Administrator

Phone

(757) 523-0022

Specialties & licenses 1

Addresses

Other names 1

• Family Medicine Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1750571303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LAKE JAMES DR",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646780",
            "telephone_number": "757-523-0022",
            "fax_number": "888-411-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LAKE JAMES DR",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646780",
            "telephone_number": "757-523-0022",
            "fax_number": "888-411-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C BLACKWOOD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "757-523-0022"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101051005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seyward A. Robbins, P. A.
• Leilani Robello
• Julie Roberson
• Meghan Blair Roberson, MSED, BCBA
• Robert B Thoma DC PC
• Robert D Wernick DDS PC
• Robert D. Lehman, M.D., P.C (Pediatric Affiliates of Hampton Roads)
• Robert D. Wernick, D.D.S, P.C.
• Robert E Titcomb OD PC
• Robert Lee Kenney DDS

• Family Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.