NPI age
1 years
Enumerated 2024-10-07
● Active
Type 1 · Individual
Jacob Blackmon, CCP
Blackmon is 1 of 13 perfusionist providers in Dallas and 1 of 118 in Texas.
Primary specialty
Perfusionist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 118 active perfusionist providers in Texas.
NPI age
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-10Enumerated in NPPES
2024
2026
Where they practice
Practice location
8200 Walnut Hill Ln
Dallas, TX 752314402
Mailing address
2106 Oakcrest Ct
Corinth, TX 762108855
Specialties
-
Perfusionist PrimaryA perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is...
Practice context
Part of a multi-provider practice. 231 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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