Wyndal K Blankenship MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WYNDAL K BLANKENSHIP MD PA

Practice address

120 S John Sims Pkwy
Valparaiso, FL 32580-1212

Phone

(850) 678-6621

Fax

(850) 729-0331

NPI assigned

Aug 23, 2005

Last updated

Dec 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie J Anderson

Title

Ins Manager

Phone

(850) 678-6621

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• WYNDAL K BLANKENSHIP MD Other name

Locations

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.

• Garry G Banks, MD PA

  • Internal Medicine Physician
  • Niceville, FL
  • NPI 1588631493
  NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1316930571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S JOHN SIMS PKWY",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801212",
            "telephone_number": "850-678-6621",
            "fax_number": "850-729-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S JOHN SIMS PKWY",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801212",
            "telephone_number": "850-678-6621",
            "fax_number": "850-729-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNDAL K BLANKENSHIP MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INS MANAGER",
        "authorized_official_telephone_number": "850-678-6621"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDI SENDER NUMBER",
            "identifier": "N1099",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256934500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC NUMBER",
            "identifier": "46862",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYNDAL K BLANKENSHIP MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larissa Nicole Tenzycki, D.C.
• Dawn Marie Torres, LCSW
• Touchstone Imaging of Pensacola, LLC (Touchstone Imaging Niceville)
• Kimberly Marie Volz
• Marty Lee Walker, ARNP3267952

• Internal Medicine Physician in Valparaiso, FL
• Providers in Valparaiso, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.