Rex Andrew Blunck, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10000288A Issued in IN

Practice address

4000 Tulip Tree Dr
SS-I
Princeton, IN 47670-2300

Phone

(812) 387-2922

Fax

(812) 387-2045

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Premise Health of Indiana Medical PC

  dba Industrial Health Services

  • Occupational Medicine Clinic/Center
  • Princeton, IN
  • NPI 1548750466
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215068556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 S LAKEWOOD HLS",
            "city": "FRANCISCO",
            "state": "IN",
            "postal_code": "476499045",
            "telephone_number": "812-782-9292",
            "fax_number": "812-387-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 TULIP TREE DR",
            "address_2": "SS-I",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476702300",
            "telephone_number": "812-387-2922",
            "fax_number": "812-387-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNCK",
        "first_name": "REX",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000288A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon S Beckerman, RN
• April Benjamin, MSN,RN
• Patti Binder, MD
• Christina K Binhack
• Pam Bishop
• Board of Trustees of Welborn Clinic (Welborn Clinic IDTF Princeton)
• Board of Trustees of Welborn Clinic (Welborn Clinic DME Princeton)
• Nicole Lynn Bradley
• Amanda Montell Brashear, PTA
• Bruce Carlton Brink Jr., DO

• Medical Physician Assistant in Princeton, IN
• Providers in Princeton, IN by specialty
• Medical Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.