Individual provider Active NPI

Jay F Blankenship, M.D.

  • Emergency Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1356583611
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7769878-1205 Issued in UT
Practice address
University of Utah Div of Emergency Medicine
30 North 1900 East RM 1C026
Salt Lake City, UT 84132-0001
Phone
(801) 587-7653
NPI assigned
Apr 1, 2009
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7769878-1205 UT Primary
Emergency Medicine Physician 207P00000X 36159 SC

Addresses

Primary practice location

University of Utah Div of Emergency Medicine
30 North 1900 East RM 1C026
Salt Lake City, UT 84132-0001

Mailing address

University of Utah Div of Emergency Medicine
30 North 1900 East RM 1C026
Salt Lake City, UT 84132-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000834 SC Practitioner - Emergency Medicine 9032365051 Reassigns benefits to 8 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jun 8, 2016 Accepting new patients
St Francis Hospital Inc CurrentSince Feb 7, 2017 Accepting new patients
Vituity-South Carolina LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Greenville Health System CurrentSince Jun 8, 2016 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
St. Francis Hospital, Inc. Current Accepting new patients
Greenville Health System Current Accepting new patients
Pelham Medical Center Emergency Medicine CurrentSince Jan 7, 2019 Accepting new patients
Emergencymd CurrentSince Oct 12, 2015 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Prisma Health-Upstate Current Accepting new patients
St Francis Hospital Inc CurrentSince Feb 7, 2017 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
University of Utah Emergency Physicians Past Accepting new patients
Emergency Physician Services Past Accepting new patients
University of Utah Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

75 Remittance Dr
Dept 1363
Chicago, IL 60675

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

200 Fleetwood Dr
#4
Easley, SC 29640

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

2498 N Pleasantburg Dr
Ste A
Greenville, SC 29609
Phone (864) 236-4350

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

1115 Wren School Rd
Piedmont, SC 29673
Phone (864) 859-0740

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

300 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 329-0029

3970 Grandview Dr
Simpsonville, SC 29680
Phone (864) 255-1000

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: jblankenship1149566@direct.bsmhealth.org

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1356583611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF UTAH DIV OF EMERGENCY MEDICINE",
            "address_2": "30 NORTH 1900 EAST RM 1C026",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF UTAH DIV OF EMERGENCY MEDICINE",
            "address_2": "30 NORTH 1900 EAST RM 1C026",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-587-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "JAY",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "7769878-1205",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "36159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.