NPIMap

Individual provider Active NPI

Jane A Blinzler, MD

  • Internal Medicine Physician
  • Harrison, OH
National Provider Identifier
1104822741
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.066896 Issued in OH
Practice address
10450 New Haven Rd Ste 5
Harrison, OH 45030-2761
Phone
(513) 981-5852
Fax
(513) 367-8031
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.066896 OH Primary
Internal Medicine Physician 207R00000X 01064395A IN

Addresses

Primary practice location

10450 New Haven Rd Ste 5
Harrison, OH 45030-2761

Mailing address

10450 New Haven Rd
Harrison, OH 45030-2780
Phone (513) 981-5852

Other identifiers 2

IdentifierTypeStateIssuer
0982987MedicaidOH
200433140MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161017002253 OH Practitioner - Internal Medicine 3971698010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

10450 New Haven Rd
Harrison, OH 45030-2780
Phone (513) 981-5852

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • St Elizabeth Home Care Services Home health agency, Lawrenceburg, IN, CCN 157055
  • Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
  • Hospice of Cincinnati, Inc Hospice, Cincinnati, OH, CCN 361531
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086
  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01064395AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Nov 1, 2016 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients
Tri State Primary Care LLC Internal Medicine Past Accepting new patients
Health Services Corporation of Southeastern Indiana Past Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

10450 New Haven Rd
Ste 5
Harrison, OH 45030
Phone (513) 981-5852

10541 Harrison Ave
Harrison, OH 45030
Phone (513) 367-2103

Interoperability endpoints

  • Direct secure messaging: jblinzler242039@direct.bsmhealth.org

Organizations & group practices 6

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1104822741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 NEW HAVEN RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302780",
            "telephone_number": "513-981-5852",
            "fax_number": "513-367-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 NEW HAVEN RD STE 5",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302761",
            "telephone_number": "513-981-5852",
            "fax_number": "513-367-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINZLER",
        "first_name": "JANE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.066896",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01064395A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0982987",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200433140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, OH

Sources for this page

Verify at the official NPI Registry.