NPIMap

Individual provider Active NPI

James Blair Blankenship, MD

  • Neurological Surgery Physician
  • Fayetteville, AR
National Provider Identifier
1245202274
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C7058 Issued in AR
Practice address
2793 E Millennium
Suite 1
Fayetteville, AR 72703-6522
Phone
(479) 582-9025
Fax
(479) 582-1572
NPI assigned
Feb 3, 2006
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X C7058 AR Primary

Addresses

Primary practice location

2793 E Millennium
Suite 1
Fayetteville, AR 72703-6522

Mailing address

2793 E Millennium
Suite 1
Fayetteville, AR 72703-6522
Phone (479) 582-9025

Other identifiers 1

IdentifierTypeStateIssuer
112777001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20031201000180 AR Practitioner - Neurosurgery 1658276936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Arkansas College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Physical Therapy Inc.Group PAC ID 1052400850, 44 clinicians
Healing Arts Center L.L.C.Group PAC ID 4789620261, 66 clinicians
James Blair Blankenship, PAGroup PAC ID 4587629134, 2 clinicians

Practice addresses (Care Compare)

210 Rice St
Berryville, AR 72616-4388
Phone (870) 423-6789

225 Violyn Dr
Branson, MO 65616-8128
Phone 4173346660402

2793 E Millennium Dr
Suite 1
Fayetteville, AR 72703-6522
Phone (479) 582-9025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion181
Laminectomy or laminotomy (partial removal of spine bones)50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7058ARMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Blair Blankenship, PA CurrentSince May 16, 2009 Accepting new patients

Locations

2793 E Millennium Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 527-0050

Interoperability endpoints

  • Direct secure messaging: blankenship.james.001.0030038@nsc.meditab.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1245202274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 E MILLENNIUM",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036522",
            "telephone_number": "479-582-9025",
            "fax_number": "479-582-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 E MILLENNIUM",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036522",
            "telephone_number": "479-582-9025",
            "fax_number": "479-582-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "JAMES",
        "middle_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "C7058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112777001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.