Individual provider Active NPI

Alton Joseph Blow, MD

  • Hematology & Oncology Physician
  • Bristol, VA
National Provider Identifier
1922091826
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD0000038381 Issued in TN
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3896585MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729001010 TN Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 3072583780 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000038381TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 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.

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

Sources for this page

Verify at the official NPI Registry.