MEDICARE: TRACY PRIMUS-BLACKMON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	LPN.143750.MEDS-IV	OH

General Provider Information

NPI Number	:	1760931604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY PRIMUS-BLACKMON

Provider Business Mailing Address
First Line	:	534 MERRIMAN RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44303-1644
Country	:	US
Telephone Number	:	330-761-2665
Fax Number	:	330-761-2661

Provider Business Practice Location Address
First Line	:	985 GORGE BLVD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-2407
Country	:	US
Telephone Number	:	330-761-2665
Fax Number	:	330-761-2661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2016
Last Update Date	:	10/03/2016

Similar Medicare Providers

1497172365 — DEANNA MESSER
Practice Location Address:

985 GORGE BLVD
AKRON, OH
44310-2407

Practice Phone: 330-761-2665
Practice Fax:

1215334750 — MISS KELLY ELIZABETH NEW M.A. CCC-SLP
Practice Location Address:

985 GORGE BLVD
AKRON, OH
44310-2407

Practice Phone: 330-761-2665
Practice Fax:

1003352063 — ASIAN SERVICES IN ACTION, INC
Practice Location Address:

985 GORGE BLVD
AKRON, OH
44310-2407

Practice Phone: 234-312-3607
Practice Fax:

1679416739 — CAMERON TUCKER
Practice Location Address:

2502 OGDEN AVE
AKRON, OH
44312-2407

Practice Phone: 330-962-7271
Practice Fax:

1255665790 — AMERICAN MEDICAL TRANSPORT LLC
Practice Location Address:

934 GRANT ST
AKRON, OH
44311-2407

Practice Phone: 330-752-4477
Practice Fax:

1760326029 — THERESA HAVASSY
Practice Location Address:

919 INDEPENDENCE AVE
AKRON, OH
44310-2523

Practice Phone: 234-281-7072
Practice Fax:

Directions to “ TRACY PRIMUS-BLACKMON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.