Active NPI
John M Blough, D.O.
- Family Medicine Physician
- Troy, AL
National Provider Identifier
1972513059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-601
- Practice address
- 1412 Elba Hwy
Troy, AL 36079-0000 - Phone
- (334) 566-8822
- Fax
- (334) 670-6723
- NPI assigned
- Aug 9, 2006
- Last updated
- Mar 26, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-601 | AL | Primary |
Addresses
Primary practice location
1412 Elba Hwy
Troy, AL 36079-0000
Mailing address
1412 Elba Hwy
Troy, AL 36079-0000
Phone (334) 566-8822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51530670 | Other | AL | BCBS |
| 631804037 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-601 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Red Bay LLC | Current | Accepting new patients | |
| HH Health System - Shoals LLC | Current | Accepting new patients | |
| Heart Health Center PC | Past | Accepting new patients | |
| United Florala, Inc | Past | Accepting new patients | |
| Colbert Co Northwest Al Healthcare Authority | Family Medicine | Past | Accepting new patients |
Locations
211 Hospital Rd
Red Bay, AL 35582
Phone (256) 356-8160
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 Red Bay Hospital
- Critical Access Hospital
- Red Bay, AL
- NPI 1073601043
-
- Rural Health Clinic/Center
- Red Bay, AL
- NPI 1013375237
-
dba Keller Community Hospice
- Community Based Hospice Care Agency
- Red Bay, AL
- NPI 1861576688
Family Medicine
-
- Cardiovascular Disease Physician
- Muscle Shoals, AL
- NPI 1326100074
-
dba Florala Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Florala, AL
- NPI 1477835825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1972513059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 ELBA HWY",
"city": "TROY",
"state": "AL",
"postal_code": "360790000",
"telephone_number": "334-566-8822",
"fax_number": "334-670-6723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 ELBA HWY",
"city": "TROY",
"state": "AL",
"postal_code": "360790000",
"telephone_number": "334-566-8822",
"fax_number": "334-670-6723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOUGH",
"first_name": "JOHN",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "DO-601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51530670",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "631804037",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.