Mr John Stephen Blackburn, CRNA - Nurse Anesthetist, Certified Registered in Irmo, SC

Mr John Stephen Blackburn, CRNA is a Nurse Anesthetist, Certified Registered based in Irmo, South Carolina. Mr John Stephen Blackburn is licensed to practice in Tennessee (license number 11770) and his current practice location is 7210g Broad River Rd, Irmo, South Carolina. He can be reached at his office (for appointments etc.) via phone at (803) 407-5266.

NPI number for Mr John Stephen Blackburn is 1164490801 and his current mailing address is Po Box 1637, Irmo, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164490801.

Contact Information

Mr John Stephen Blackburn, CRNA
7210g Broad River Rd,
Irmo, SC 29063-7972
(803) 407-5266
Not Available



Provider's Profile

Full NameMr John Stephen Blackburn
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location7210g Broad River Rd, Irmo, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164490801
  • Provider Enumeration Date: 03/09/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr John Stephen Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164490801NPI-NPPES
11770OtherTNAPN
60552OtherTNRN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 11770 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Stephen Blackburn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr John Stephen Blackburn, CRNA
Po Box 1637,
Irmo, SC 29063-1637

Ph: (803) 407-5266
Mr John Stephen Blackburn, CRNA
7210g Broad River Rd,
Irmo, SC 29063-7972

Ph: (803) 407-5266

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› Verified 1 days ago


Nurse Anesthetist, Certified Registered Nurses in Irmo, SC

Ms. Sharon K. Harmon, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1 Wellness Blvd, Suite 110, Irmo, SC 29063
Phone: 843-839-5995    

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