Organization Active NPI

The Blaine Corporation

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
National Provider Identifier
1306026828
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003408 Issued in OH
Legal business name
THE BLAINE CORPORATION
Practice address
959 Worthington Woods Loop Rd
Columbus, OH 43085-5743
Phone
(614) 430-0100
Fax
(614) 431-0101
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Dr. James Eldridge Blaine Jr., DPM
Title
Doctor
Phone
(614) 430-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36003408 OH Primary

Addresses

Primary practice location

959 Worthington Woods Loop Rd
Columbus, OH 43085-5743

Mailing address

959 Worthington Woods Loop Rd
Columbus, OH 43085-5743
Phone (614) 430-0100

Other identifiers 1

IdentifierTypeStateIssuer
2553062MedicaidOH

Other names 1

  • Limb Savers Podiatric Wound Center Doing business as

National Provider Directory

National Provider Directory

Locations

959 Worthington Woods Loop Rd
Worthington, OH 43085
Phone (614) 430-0100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1306026828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 WORTHINGTON WOODS LOOP RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430855743",
            "telephone_number": "614-430-0100",
            "fax_number": "614-431-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 WORTHINGTON WOODS LOOP RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430855743",
            "telephone_number": "614-430-0100",
            "fax_number": "614-431-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLAINE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "BLAINE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ELDRIDGE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "614-430-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2553062",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limb Savers Podiatric Wound Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.