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MR. JOHN STEPHEN BLACKBURN CRNA
NPI 1164490801
Nurse Anesthetist, Certified Registered in Irmo, SC

Active since March 09, 2006
7210G BROAD RIVER RD, IRMO, SC 29063(803) 407-5266 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. John Stephen Blackburn Crna NPPES

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

MR. JOHN STEPHEN BLACKBURN CRNA (NPI 1164490801) is an individual nurse anesthetist, certified registered in Irmo, South Carolina, licensed in Tennessee (11770) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1164490801
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JOHN STEPHEN BLACKBURNCredential: CRNA
Location Address7210G BROAD RIVER RDIrmo, SC 29063-7972
Mailing AddressPo Box 1637Irmo, SC 29063-1637 · (803) 407-5266
Phone(803) 407-5266
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164490801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · 11770
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
7210G BROAD RIVER RD, Irmo, SC 29063
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Other Identifiers 2

Other60552TN · Rn
Other11770TN · Apn

Other Providers at the Same Location NPPES

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

GOLDEN RULE MEDICAL SERVICES, INC
Specialist
7210G BROAD RIVER RD
IRMO, SC 29063
Lexington County (803) 407-5266

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 John Blackburn's NPI number?

The NPI number for John Blackburn is 1164490801. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is John Blackburn located?

John Blackburn practices at 7210G Broad River Rd, Irmo, SC 29063. The listed phone number is (803) 407-5266.

What is John Blackburn's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for John Blackburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.