Travis Glenn Blanton, MD
Individual provider Active NPI Interventional Pain Medicine Physician · Logan, WV
NPI 1013479856 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1013479856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- License
- 35401 (WV)
- Practice address
- 70 Hospital Dr
Logan, WV 25601-3452 - Phone
- (304) 831-1101
- NPI assigned
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Northeastern Ohio University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Erie County Medical Center Corporation
Logan General Hospital LLC
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000
77 Hospital Dr
FL 4
Logan, WV 25601-3451
Phone (304) 831-1663
Hospital & facility affiliations
- Logan Regional Medical Center
- Erie County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, WV
- 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 |
|---|---|---|---|---|
| I20250108002147 | NY | Practitioner - Anesthesiology | 2668709957 | Reassigns benefits to 1 organization |
| I20250801000974 | WV | Practitioner - Anesthesiology | 2668709957 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.148574 | OH | MD | Pain Medicine (Anesthesiology) Physician |
| 306742 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie County Medical Center Corporation | Current |
Accepting new patients | |
| The Metrohealth System | Interventional Pain Medicine | Current | Accepting new patients |
| Maple Gate Anesthesiologists, P.C. | Anesthesiology | Current |
Accepting new patients |
| Appalachia Pathology Consultants LLC | Current | Accepting new patients | |
| Logan General Hospital LLC | Anesthesiology | Current |
Accepting new patients |
| Erie County Medical Center Corporation | Anesthesiology | Current |
Accepting new patients |
Locations
818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000
2568 Walden Ave
Ste 103
Cheektowaga, NY 14225
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
77 Hospital Dr
Logan, WV 25601
Phone (304) 792-1122
77 Hospital Dr
Fl 4
Logan, WV 25601
Phone (304) 831-1663
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
Interoperability endpoints
- tblanton246013@direct.metrohealth.org
- travis.blanton.1@26088.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 306742 | NY | |
| Anesthesiology Physician | 207L00000X | 35.148574 | OH | |
| Interventional Pain Medicine Physician | 208VP0014X | 35.148574 | OH | |
| Interventional Pain Medicine Physician | 208VP0014X | 35401 | WV | Yes |
| Anesthesiology Physician | 207L00000X | 35401 | WV | |
| Interventional Pain Medicine Physician | 208VP0014X | 306742 | NY |
Addresses
Primary practice location
70 Hospital Dr
Logan, WV 25601-3452
Mailing address
2181 Township Road 188
Cardington, OH 43315-9353
Other practice location 1
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
Other practice location 2
462 Grider St
Buffalo, NY 14215-3098
Phone (716) 878-7701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013479856 | Medicaid | WV |
Other providers in Logan, WV
- Todd Blackburn
- Amber Frances Blankenship
- Melissa Blankenship
- Rebecca Blankenship
- Tammi Endicott Blankenship
- Andrea Bledsoe
- Steven Block
- Bobbie Boatwright
- Body Kneads LLC
- Giles Bowman
All providers in Logan, WV · Interventional Pain Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.