| Angela Blackstone, RD | |
|
2050 Kenny Rd, Columbus, OH 43221-3502 | |
| (614) 293-2800 | |
| (614) 293-2801 |
| Full Name | Angela Blackstone |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 25 Years |
| Location | 2050 Kenny Rd, Columbus, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700841558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD4796 (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osu General Internal Medicine Llc | 7517103955 | 237 |
| Provider Name | Osu Family Practice Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659339653 PECOS PAC ID: 9032023874 Enrollment ID: O20031117000511 |
| Provider Name | Osu Surgery, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538117551 PECOS PAC ID: 0941105266 Enrollment ID: O20031201000377 |
| Provider Name | Osu General Internal Medicine Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689919599 PECOS PAC ID: 7517103955 Enrollment ID: O20130409000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Blackstone, RD 660 Ackerman Rd, P.o. Box 183103, Columbus, OH 43202-4500 Ph: () - | Angela Blackstone, RD 2050 Kenny Rd, Columbus, OH 43221-3502 Ph: (614) 293-2800 |
Kearson Petruzzi, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 186 E Norwich Ave Apt A, Columbus, OH 43201 Phone: 330-621-8611 | |
Ms. Therese Smith, RDN, LD, ACSM-EP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1925 Aschinger Blvd, Columbus, OH 43212 Phone: 330-907-9594 | |
Mrs. Dawn M. Holmes, MS, RD, CSSD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3705 Olentangy River Rd, Suite 260, Columbus, OH 43214 Phone: 614-566-2786 Fax: 614-533-6609 | |
Mrs. Kaleigh Michel Tjoelker, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8036 | |
Corinne Barnhart, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1087 Dennison Ave, Columbus, OH 43201 Phone: 614-484-9668 | |
Sheela S Thomas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 450 West Tenth Avenue, Dept Of Nutrition 9-07 Rhodes Hall, Columbus, OH 43210 Phone: 614-293-2300 Fax: 614-293-3740 | |
Heather Colleen Mccormick, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1699 W Mound St, Columbus, OH 43223 Phone: 614-437-2880 Fax: 614-278-3143 |