Cherryll A. Leblanc, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

K6085 Issued in TX

Practice address

1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853

Phone

(954) 838-2371

Fax

(954) 851-1758

NPI assigned

Jun 5, 2006

Last updated

May 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Cherryll A. Blythe Other name

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

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 2

Specialty

Emergency Medicine

Education

Louisiana State University School of Medicine in New Orleans, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buxton Emergency Group LLCGroup PAC ID 8729321344, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dequincy Memorial Hospital Hospital, Dequincy, LA, CCN 191307

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Buxton Emergency Group, LLC

  • Emergency Medicine Physician
  • Dequincy, LA
  • NPI 1750845301
  Medicare reassignment Care Compare group NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441
  Medicare reassignment NPD
• Emergency Group of St Landry LLC

  • Emergency Medicine Physician
  • Ville Platte, LA
  • NPI 1164491320
  Medicare reassignment NPD
• Hodges Emergency Group, LLC

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1710441316
  Medicare reassignment NPD
• Lasalle Parish Hospital Service District #1

  dba Hardtner Medical Center

  • Critical Access Hospital
  • Olla, LA
  • NPI 1184815466
  Medicare reassignment NPD
• Rapid Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Mandeville, LA
  • NPI 1285970780
  Medicare reassignment NPD
• Texarkana Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1871813345
  Medicare reassignment NPD
• Victoria Emergency Associates LLC

  • Emergency Medicine Physician
  • Victoria, TX
  • NPI 1407917164
  Medicare reassignment NPD
• Victoria Emergency Partners LLC

  • Emergency Medicine Physician
  • Gonzales, TX
  • NPI 1164770996
  Medicare reassignment NPD
• Lasalle Parish Hospital Service District #1

  dba Hardtner Medical Clinic

  • Rural Health Clinic/Center
  • Olla, LA
  • NPI 1053415745
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CLHG-Dequincy, LLC

  dba Dequincy Memorial Hospital

  • Critical Access Hospital
  • Dequincy, LA
  • NPI 1902469653
  Care Compare affiliation

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1528007671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 CHADWICK DRIVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "409-347-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "#200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "CHERRYLL",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "013378",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K6085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113380304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164362903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168991104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168991101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168991102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERRYLL",
            "last_name": "BLYTHE",
            "middle_name": "A.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob Lazarovic, M.D.
• Duy Minh Le
• Mong Le
• Quang Le, DPT
• Eva Isabel Leal Meza
• Alex Lebon, OTR/L
• Leonard S Lebow, MD
• Pierrela Lebrun
• Carla P Lee, CRNA
• Eonhee Lee

• Emergency Medicine Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.