Patrick Tyson Blatchford, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0116015702 Issued in 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

Last updated

Jan 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.blatchford@486851367337988.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Central Kansas Regional Medical Center

  dba South Central Kansas Medical Center

  • Rural Acute Care Hospital
  • Arkansas City, KS
  • NPI 1679672323

  Multi-Specialty

  Medicare reassignment NPD
• Blatchford, Inc

  dba Chestnut Wellness

  • Surgery Physician
  • Arkansas City, KS
  • NPI 1497346274
  Authorized official Same address or phone
• South Central Kansas Regional Medical Center

  dba South Central Kansas Medical Center

  • Rural Acute Care Hospital
  • Arkansas City, KS
  • NPI 1790884450

  Multi-Specialty

  NPD
• South Central Kansas Regional Medical Center

  dba SCK Health Rural Health Clinic

  • Rural Health Clinic/Center
  • Arkansas City, KS
  • NPI 1962947952
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1003073602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E CHESTNUT AVE",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670052200",
            "telephone_number": "620-441-4108",
            "fax_number": "620-741-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E CHESTNUT AVE",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670052200",
            "telephone_number": "620-441-4108",
            "fax_number": "620-741-5093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 Patterson Pkwy",
            "address_purpose": "LOCATION",
            "city": "Arkansas City",
            "state": "KS",
            "postal_code": "67005",
            "country_code": "US",
            "telephone_number": "620-442-2500",
            "fax_number": "620-441-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLATCHFORD",
        "first_name": "PATRICK",
        "middle_name": "TYSON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0116015702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ark Valley Physical Therapy, Inc
• Cherie Ann Bahm, APRN FNP-BC
• Virginia Bahruth, P.A.
• Sydney Lynn Baker, DPH
• Blatchford, Inc (Chestnut Wellness)
• Brookdale Senior Living Communities, Inc. (Sterling House of Arkansas City)
• Rebecca Gene Brown, PTA
• Justine Bruce, DPT
• Lakynn Clarice Burris, PA
• Amy Lynne Burton, ATC

• Surgery Physician in Arkansas City, KS
• Providers in Arkansas City, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.