Blatchford, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BLATCHFORD, INC

Practice address

119 E Chestnut Ave
Arkansas City, KS 67005-2200

Phone

(620) 441-4108

Fax

(620) 741-5093

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Patrick Tyson Blatchford

Title

MD

Phone

(620) 441-4108

Specialties & licenses 2

Addresses

Other names 1

• Chestnut Wellness Doing business as

Locations

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1497346274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E CHESTNUT AVE",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670052200",
            "telephone_number": "620-441-4108",
            "fax_number": "620-741-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E CHESTNUT AVE",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670052200",
            "telephone_number": "620-441-4108",
            "fax_number": "620-741-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLATCHFORD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "BLATCHFORD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TYSON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "620-441-4108"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chestnut Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Arkansas City, KS
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.