1. Home
  2. Directory
  3. Washington
  4. Puyallup
  5. Internal Medicine
  6. NPI Profile

MICHAEL GREGORY BLACKBURN MD
NPI 1063429652
Internal Medicine in Puyallup, WA

Active since August 03, 2006
201 15TH AVE SW STE C, PUYALLUP, WA 98371(253) 841-4243(253) 864-9452 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Gregory Blackburn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL GREGORY BLACKBURN MD (NPI 1063429652) is an individual internal medicine provider in Puyallup, Washington, licensed in Washington (MD00019306) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1063429652
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL GREGORY BLACKBURNCredential: MD
Location Address201 15TH AVE SW STE CPuyallup, WA 98371-7495
Mailing Address201 15th Ave Sw Ste CPuyallup, WA 98371-7495 · (253) 841-4243 · Fax (253) 864-9452
Phone(253) 841-4243
Fax(253) 864-9452
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 18, 2019
✔ NPI 1063429652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD00019306
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 15TH AVE SW STE C, Puyallup, WA 98371
Open in Google Maps ↗

Other Names 1

Other Name (5)Michael G Blackburn M.d., Inc., P.s.

Other Identifiers 3

OtherBL4674WA · Regence
Medicaid1008895WA
Other110008458Railroad Medicare

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL G. BLACKBURN, M.D. , INC. P.S.
Clinic/Center (Primary Care)
201 15TH AVE SW STE C
PUYALLUP, WA 98371
Pierce County (253) 841-4243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Blackburn's NPI number?

The NPI number for Michael Blackburn is 1063429652. It was assigned to this individual provider in the NPPES registry on August 3, 2006. The provider is also known as Michael G Blackburn M.D., Inc., P.S..

Where is Michael Blackburn located?

Michael Blackburn practices at 201 15th Ave SW Ste C, Puyallup, WA 98371. The listed phone number is (253) 841-4243.

What is Michael Blackburn's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Michael Blackburn was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.