DR. JOHN TIMOTHY BLACKWELDER (M.D.) – Diagnostic Radiology Physician, NPI 1457305179

DR. JOHN TIMOTHY BLACKWELDER (M.D.) is a healthcare provider. based in Walla walla, Washington. specializing in Diagnostic Radiology Physician. They hold the professional credentials M.D.. They hold a License No. MD00020601 (WA). The NPI Number for DR. JOHN TIMOTHY BLACKWELDER (M.D.) is 1457305179

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN TIMOTHY BLACKWELDER (M.D.)
NPI
1457305179
Phone
(509) 529-5541
Address
1240 LANCER DR
Enumeration Date
19 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2537351991
Graduation Year
1973 (53 years ago)
PAC ID
0446299408
Group Practice PAC ID
9032005376
Professional Enrollment ID
I20050428000757
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN TIMOTHY BLACKWELDER (M.D.)

  • 1240, Lancer Drive, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 993629275

    Phone: (509) 529-5541

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99362)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032005376View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Physician AssistantMN
Diagnostic RadiologyNH
Diagnostic RadiologyMN
Diagnostic RadiologyIA
Diagnostic RadiologyWA
Diagnostic RadiologyTX
-MN
Emergency MedicineMN

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Frequently asked questions

What number should I use to identify DR. JOHN TIMOTHY BLACKWELDER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1457305179 for DR. JOHN TIMOTHY BLACKWELDER (M.D.).
Does the public listing show DR. JOHN TIMOTHY BLACKWELDER (M.D.) as active?
DR. JOHN TIMOTHY BLACKWELDER (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. JOHN TIMOTHY BLACKWELDER (M.D.)'s specialty?
The extract shows Diagnostic Radiology Physician for DR. JOHN TIMOTHY BLACKWELDER (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit DR. JOHN TIMOTHY BLACKWELDER (M.D.) in Walla Walla, Washington?
For routing, start with Walla Walla, Washington for DR. JOHN TIMOTHY BLACKWELDER (M.D.), then verify phone and hours locally.
Why is information missing for DR. JOHN TIMOTHY BLACKWELDER (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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