Edward L Blackman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME96637 Issued in FL

Practice address

1151 Mallard Marsh Dr
Osprey, FL 34229-6810

Phone

(941) 918-4863

Fax

(941) 918-4863

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Dante Family Medicine LLC

  • Urgent Care Clinic/Center
  • Sarasota, FL
  • NPI 1215885561
  NPD
• Lavender Health Care of Florida, LLLP

  • Urgent Care Clinic/Center
  • Sarasota, FL
  • NPI 1811210735
  NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1851334445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 MALLARD MARSH DR",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342296810",
            "telephone_number": "941-918-4863",
            "fax_number": "941-918-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MALLARD MARSH DR",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342296810",
            "telephone_number": "941-918-4863",
            "fax_number": "941-918-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA027043",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME96637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Ball, CLC
• Gerald J Becker, MD
• Patrick Aaron Begley, D.O
• William Bruce Benner, AP
• Biscayne Optometry, Inc
• Lexi Kathryn Bornes, PHARMD
• Tammy Brooks-Marino, RDN, LDN
• Soheir Bshot
• Kara Lynn Bumgarner, MHC
• Camille L Bussotti, PHD

• All providers in Osprey, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.