Steven W Bloink MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28892 Issued in CO

Legal business name

STEVEN W BLOINK MD PC

Practice address

118 N Chestnut St
Cortez, CO 81321-3104

Phone

(970) 565-5463

Fax

(970) 564-9245

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline N Bloink

Title

Office Manager

Phone

(970) 565-5463

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508858481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1509",
            "address_2": "118 N. CHESTNUT ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "telephone_number": "970-565-5463",
            "fax_number": "970-564-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N CHESTNUT ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213104",
            "telephone_number": "970-565-5463",
            "fax_number": "970-564-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN W BLOINK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOINK",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-565-5463",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "28892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01288927",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87039842",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Renee Starnes-Parr, OD
• Robert Scott Steeves, CRNA
• Timothy Edmund Stefanko, RPH
• Ashley Stephens
• Nicole Marie Stephens, CMT
• Wendy Jean Stevens, CRNP
• Anne C. Stevenson, SLP
• Sarah Sticha, LPCC
• Donald Scott Story
• Laurilyn Balfour Sturdevant, RDH

• All providers in Cortez, CO
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.