Spectrum Palliative Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SPECTRUM PALLIATIVE CARE

Practice address

2410 Luna Rd Ste 206
Carrollton, TX 75006-6538

Phone

(888) 402-2254

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michael Blackmon, MD

Title

Physician

Phone

(972) 318-9731

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1992497994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 LUNA RD STE 248",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066578",
            "telephone_number": "972-318-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 LUNA RD STE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066538",
            "telephone_number": "888-402-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-318-9731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.