Organization Active NPI

Dr. Harold Blevins

  • Otolaryngology Physician
  • Louisville, KY
National Provider Identifier
1548441850
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
DR. HAROLD BLEVINS
Practice address
5129 Dixie Hwy Ste 209
Louisville, KY 40216-1727
Phone
(502) 447-3265
Fax
(502) 897-3332
NPI assigned
Nov 15, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Harold W BlevinsNPI 1821046426
Title
Owner
Phone
(502) 897-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

5129 Dixie Hwy Ste 209
Louisville, KY 40216-1727

Mailing address

4001 Dutchmans LN Ste 2E
Louisville, KY 40207-4734
Phone (502) 897-7300

National Provider Directory

National Provider Directory

Locations

5129 Dixie Hwy
Ste 209
Louisville, KY 40216
Phone (502) 447-3265

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1548441850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 DUTCHMANS LN STE 2E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074734",
            "telephone_number": "502-897-7300",
            "fax_number": "502-897-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 DIXIE HWY STE 209",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161727",
            "telephone_number": "502-447-3265",
            "fax_number": "502-897-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HAROLD BLEVINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-897-7300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.