Individual provider Active NPI

Richard Blackburn, DO

  • Radiation Oncology Physician
  • West Plains, MO
National Provider Identifier
1801834767
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
200701598 Issued in NC
Practice address
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone
(417) 256-9111
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2023048760 MO
Radiation Oncology Physician 2085R0001X 7138 TN
Radiation Oncology Physician 2085R0001X 200701598 NC Primary
Radiation Oncology Physician 2085R0001X 24026 ND
Radiation Oncology Physician 2085R0001X W5041 TX
Radiation Oncology Physician 2085R0001X 0102037118 VA

Addresses

Primary practice location

1100 N Kentucky Ave
West Plains, MO 65775-2029

Mailing address

2851 Pine Forest Dr
Southport, NC 28461-8236
Phone (910) 650-3138

Other practice location 1

805 6th Ave W Ste 100
Hendersonville, NC 28739-4160
Phone (828) 696-1330

Other practice location 2

323 E Hawkins Pkwy Ste A-1
Longview, TX 75605-8153
Phone (903) 544-6888

Other practice location 3

16000 Johnston Memorial Dr
Abingdon, VA 24211-7659
Phone (276) 258-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, MO, NM, ND5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110830000518 NC Practitioner - Radiation Oncology 5597755926 Reassigns benefits to 3 organizations
I20191104001065 SC Practitioner - Radiation OncologyPractitioner - Pain Management 5597755926 Reassigns benefits to 1 organization
I20240507002336 MO Practitioner - Radiation Oncology 5597755926 Reassigns benefits to 1 organization
I20241025002093 NM Practitioner - Radiation Oncology 5597755926 Reassigns benefits to 1 organization
I20260520004302 ND Practitioner - Radiation Oncology 5597755926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation OncologyAlso: Pain Management
Education
West Virginia School of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJC Oncology Services South Carolina LLCGroup PAC ID 0143217273, 14 clinicians
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

100 Buckwalter Place Blvd
Suite 150
Bluffton, SC 29910-5023
Phone (843) 836-7120

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036

Hospital & facility affiliations

  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078
  • Essentia Health Hospital, Fargo, ND, CCN 350070
  • Sidney Health Center Hospital, Sidney, MT, CCN 271344
  • Faith Health Hospital, Norfolk, NE, CCN 280125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2023048760MOMDRadiation Oncology Physician
200701598NCMDRadiation Oncology Physician
24026NDMDRadiation Oncology Physician
404SCMDPhysical Therapy Assistant
1184ALMDOccupational Therapist
1026WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Health Center CurrentSince Sep 2, 2025 Accepting new patients
Henderson County Hospital Corp CurrentSince Dec 1, 2019 Accepting new patients
SJC Oncology Services-South Carolina, LLC Radiation Oncology CurrentSince Oct 1, 2022 Accepting new patients
Otero County Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
Ozarks Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Sidney Health Center Current Accepting new patients
Henderson County Hospital Corporation CurrentSince Dec 1, 2019 Accepting new patients
Otero County Hospital Association CurrentSince Oct 1, 2024 Accepting new patients
Watauga Medical Center Inc CurrentSince Jun 15, 2020 Accepting new patients
East Carolina University CurrentSince Jul 1, 2011 Accepting new patients
Watauga Medical Center, Inc. Current Accepting new patients
Ozarks Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Watauga Medical Center Inc Radiation Oncology CurrentSince Jun 15, 2020 Accepting new patients
Sidney Health Center Current Accepting new patients
East Carolina University Current Accepting new patients
Sidney Health Center CurrentSince Sep 2, 2025 Accepting new patients
Henderson County Hospital Corporation Current Accepting new patients
Murray Radiation Oncology, PSC Radiation Oncology Past Accepting new patients
Sidney Health Center Past Accepting new patients
Middle Georgia Radiation Partners, LP Specialist Past Accepting new patients

Locations

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

805 6th Ave W
Hendersonville, NC 28739
Phone (828) 696-1330

805 6th Ave W
Ste 100
Hendersonville, NC 28739
Phone (828) 692-8045

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

100 Buckwalter Place Blvd
Ste 150
Bluffton, SC 29910
Phone (843) 208-2895

25 Hospital Center Blvd
Ste 101
Hilton Head Island, SC 29926
Phone (843) 689-6490

Interoperability endpoints

  • Direct secure messaging: rblackburn220129@direct.unc.nchie.net
  • Direct secure messaging: richard.blackburn.1@6965.direct.athenahealth.com
  • Direct secure messaging: rblackburn87804@directinfirmaryhealth.org
  • Direct secure messaging: rblackburn502068@direct.nebraskamed.com

Organizations & group practices 35

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

View all 35

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1801834767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 PINE FOREST DR",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618236",
            "telephone_number": "910-650-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-256-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 6th Ave W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287394160",
            "country_code": "US",
            "telephone_number": "828-696-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 E Hawkins Pkwy Ste A-1",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756058153",
            "country_code": "US",
            "telephone_number": "903-544-6888",
            "fax_number": "903-502-6089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117659",
            "country_code": "US",
            "telephone_number": "276-258-1800",
            "fax_number": "276-628-1523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2023048760",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "7138",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "200701598",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ND",
            "license": "24026",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "W5041",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0102037118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.