Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Blacklidge, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1003901133

Douglas Blacklidge, DPM is a Podiatry in Kokomo, Indiana. Graduated from William M. Scholl College of Podiatric Medicine in 1992, 34 years ago. Practices with Witham Memorial Hospital, a 103-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
34
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
IN
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

2341 W Lincoln Rd
Kokomo, IN 46902-8012
Phone: (844) 424-3668
Fax: (317) 575-6909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 070007898 (IN)

Record details

NPI number1003901133
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024
Mailing address2341 W Lincoln Rd, Kokomo, IN 46902-8012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 1992 (34 years in practice)
Group practice Witham Memorial Hospital — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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