David Vincent Blihar

Individual provider Active NPI Internal Medicine Physician · Youngstown, OH

NPI 1306589874 · NPPES record last updated Jun 27, 2023

Key facts

NPI
1306589874
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
57.254680 (OH)
Practice address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone
(330) 746-7211
NPI assigned
Apr 13, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230711003042 OH Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
3274992029

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
57.254680OHMDInternal Medicine Physician
2084E0001XDEMDEpilepsy Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X 2084E0001X DE
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 57.254680 OH Yes

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504-1006

Mailing address

1621 View LN
Green Bay, WI 54313-5302
Phone (920) 621-5296

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address dblihar@neomed.edu Direct
FHIR URL Dblihar@mercy.com Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 27, 2023.

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1306589874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 VIEW LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135302",
            "telephone_number": "920-621-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-746-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIHAR",
        "first_name": "DAVID",
        "middle_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-13",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "DE",
            "license": "2084E0001X",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.254680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dblihar@neomed.edu",
            "affiliation": "N",
            "endpointDescription": "Professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1044 Belmont Ave",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445041006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Dblihar@mercy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1044 Belmont Ave",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445041006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.