Melodie Marian Blackmon, DO

Emergency medicine physician in Tyler, Texas · NPI 1689162257

Melodie Blackmon is one of 43 emergency medicine physicians practicing in Tyler, Texas. Melodie Blackmon practices with Etmc Physician Group, Inc.

Registry record (NPPES)

NPI
1689162257
Type
Type 1 · Individual
Primary taxonomy
Emergency Medicine · 207P00000X
Address on file
1000 S Beckham Ave
Tyler, TX 75701-1908
(903) 590-5611
Enumerated
Apr 28, 2018
Record last updated
Jul 12, 2023
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Emergency Medicine
Revalidation due
No date set by CMS

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Practice locations

More emergency medicine physicians in Tyler

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.