Active NPI
Alton Joseph Blow, MD
- Hematology & Oncology Physician
- Bristol, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD0000038381
- Practice address
- 349 Island Rd
Bristol, VA 24201-7009 - Phone
- (276) 469-4200
- Fax
- (276) 469-4249
- NPI assigned
- Aug 25, 2005
- Last updated
- Feb 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD0000038381 | TN | Primary |
| Hematology & Oncology Physician | 207RH0003X | 0101043411 | VA |
Addresses
Primary practice location
349 Island Rd
Bristol, VA 24201-7009
Mailing address
349 Island Rd
Bristol, VA 24201-7009
Phone (276) 469-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3896585 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000038381 | TN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Hematology & Oncology | Current | Accepting new patients |
| Johnston Memorial Hospital, Inc | Past | Accepting new patients | |
| Norumbega Medical Specialists, LTD | Past | Accepting new patients | |
| Eastern Maine Medical Center | Past | Accepting new patients |
Locations
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
Hematology & Oncology
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Johnson City, TN
- NPI 1154789030
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1922091826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 ISLAND RD",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242017009",
"telephone_number": "276-469-4200",
"fax_number": "276-469-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 ISLAND RD",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242017009",
"telephone_number": "276-469-4200",
"fax_number": "276-469-4249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOW",
"first_name": "ALTON",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "MD0000038381",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0101043411",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3896585",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, VA
- Sally Blackburn, NP
- Shirley R Blake, M.S.
- BLC Bristol-GC, LLC (Grand Court Bristol)
- Christy McGhee Blevins, NP
- Courtney Lange Blevins
- Blue Ridge Medical Management Corporation (Ballad Health Medical Associates)
- Tiffany Brooke Boardwine
- Donna Elaine Boggs, LCSW
- Lisa Bourne, LPC
- Alexandra Marrs Bowling, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.