Organization Active NPI

Blankenbaker Primary Care

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1215063672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
KY31452 Issued in KY
Legal business name
BLANKENBAKER PRIMARY CARE
Practice address
1937 Blankenbaker Pkwy
Louisville, KY 40299-2403
Phone
(502) 297-8555
Fax
(502) 297-8551
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sven T Jonsson, M.D.NPI 1073512984
Title
Physician
Phone
(502) 297-8555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X KY31452 KY Primary

Addresses

Primary practice location

1937 Blankenbaker Pkwy
Louisville, KY 40299-2403

Mailing address

1937 Blankenbaker Pkwy
Louisville, KY 40299-2403
Phone (502) 297-8555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215063672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 BLANKENBAKER PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992403",
            "telephone_number": "502-297-8555",
            "fax_number": "502-297-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 BLANKENBAKER PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992403",
            "telephone_number": "502-297-8555",
            "fax_number": "502-297-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANKENBAKER PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONSSON",
        "authorized_official_first_name": "SVEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "502-297-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "KY31452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.