Active NPIIndividual provider

Dr. Stuart L Blackwood, MD

Healthcare Provider in Syracuse, New York

NPI Number1730321761
Practice location
104 Union Ave Ste 1005, Syracuse, NY 13203
Fax
315-475-0916
Last updated
May 20, 2020

Stuart L Blackwood is a Healthcare Provider based in Syracuse, NY. Stuart L Blackwood practices in Syracuse, NY and has the professional credentials of MD. The NPI Number for Stuart L Blackwood is 1730321761 and holds a License No. 294864 (NY). The current practice location address for Stuart L Blackwood is 104 Union Ave Ste 1005, Syracuse, NY 13203 and can be reached out via phone at 315-424-0790 and via fax at 315-475-0916.

Provider Profile Details

NPI Number
1730321761
Provider Name
Stuart L Blackwood
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
104 Union Ave Ste 1005, Syracuse, NY 13203
Phone Number
315-424-0790
Fax Number
315-475-0916
Primary Taxonomy
Healthcare Provider · 2086S0129X
Sole Proprietor
No
Provider Enumeration Date
April 6, 2009
Last Update Date
May 20, 2020
Certification Date
May 20, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 Union Ave Ste 1005
Syracuse, NY 13203
Zip
13203
Phone Number
315-424-0790
Fax Number
315-475-0916
Syracuse, NY 13203Get directions →

Provider Business Mailing Address Details

Address
Po Box 419519
Boston, MA 02241-9519
City
Boston
State
MA
Zip
02241-9519
Phone Number
610-644-8900
Fax Number
484-924-0053

License Information

License Number (1)
294864
License State (1)
NY
Taxonomy (1)
· 2086S0129X · Primary
License Number (2)
294864
License State (2)
NY
Taxonomy (2)
Surgery · 208600000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stuart L Blackwood, MD?

The NPI number of Dr. Stuart L Blackwood, MD is 1730321761. It was assigned on April 6, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Stuart L Blackwood, MD?

Dr. Stuart L Blackwood, MD is registered under the primary taxonomy Healthcare Provider (code 2086S0129X), licensed in NY under license number 294864.

Where does Dr. Stuart L Blackwood, MD practice?

The practice location is 104 Union Ave Ste 1005, Syracuse, NY 13203. The office can be reached at 315-424-0790 (phone) or 315-475-0916 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730321761 directly on the NPPES registry website.

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