DR. SHANE ANTHONY BLACKMORE MD
NPI 1669806055
Orthopaedic Surgery - Sports Medicine in New York, NY

Q: What is Shane Blackmore's NPI number?

The NPI number for Shane Blackmore is 1669806055. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Q: What is Shane Blackmore's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Shane Blackmore was last updated on August 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 21, 2013

301 E 17TH ST, ROOM 1402, NEW YORK, NY 10003(212) 598-6509(212) 598-7654 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Shane Anthony Blackmore Md NPPES

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

DR. SHANE ANTHONY BLACKMORE MD (NPI 1669806055) is an individual sports medicine provider in New York, New York, licensed in New York (P89608) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1669806055

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. SHANE ANTHONY BLACKMORECredential: MD

Location Address301 E 17TH ST, ROOM 1402New York, NY 10003-3804

Mailing Address2 Cooper Sq, 9cNew York, NY 10003-7153 · (347) 463-3405

Phone(212) 598-6509

Fax(212) 598-7654

Sole ProprietorYes

Enumeration DateAugust 21, 2013

✔ NPI 1669806055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in NY · P89608

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

301 E 17TH ST, New York, NY 10003

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Other Providers at the Same Location NPPES 20

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

DR. CHRISTOPHER MICHAEL PETRILLI MD

Hospitalist