Patrick Tyson Blatchford, MD
Individual provider Active NPI Surgery Physician · Arkansas City, KS
NPI 1003073602 · NPPES record last updated Jan 31, 2022
Key facts
- NPI
- 1003073602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 0116015702 (VA)
- Practice address
- 119 E Chestnut Ave
Arkansas City, KS 67005-2200 - Phone
- (620) 441-4108
- Fax
- (620) 741-5093
- NPI assigned
- May 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081028000024 | KS | Practitioner - General Surgery | 0446318984 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116015702 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Kansas Regional Medical Center | Multi-Specialty | Current | Accepting new patients |
| South Central Kansas Regional Medical Center | Multi-Specialty | Current | Accepting new patients |
| South Central Kansas Regional Medical Center | Current |
Accepting new patients |
Locations
6403 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 442-2500
515 N Summit St
Arkansas City, KS 67005
Phone (620) 442-4850
6401 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 441-5798
3625 Quail Ridge Rd
Winfield, KS 67156
Phone (620) 221-6100
Interoperability endpoints
- patrick.blatchford@486851367337988.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Surgery Physician | 208600000X | 0116015702 | VA | Yes |
Addresses
Primary practice location
119 E Chestnut Ave
Arkansas City, KS 67005-2200
Mailing address
119 E Chestnut Ave
Arkansas City, KS 67005-2200
Phone (620) 441-4108
Other practice location 1
6401 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 442-2500
Other providers in Arkansas City, KS
- Ark Valley Physical Therapy, Inc
- Cherie Ann Bahm
- Virginia Bahruth
- Sydney Lynn Baker
- Blatchford, Inc
- Brookdale Senior Living Communities, Inc.
- Rebecca Gene Brown
- Justine Bruce
- Lakynn Clarice Burris
- Amy Lynne Burton
All providers in Arkansas City, KS · Surgery Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.