Blair Chrenka, M.D.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

01056525A Issued in IN

Practice address

530 N. Lafayette Blvd
South Bend, IN 46601-1098

Phone

(574) 234-4176

Fax

(574) 234-1561

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598862989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N. LAFAYETTE BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011098",
            "telephone_number": "574-234-4176",
            "fax_number": "574-234-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N. LAFAYETTE BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011098",
            "telephone_number": "574-234-4176",
            "fax_number": "574-234-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRENKA",
        "first_name": "BLAIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "IN",
            "license": "01056525A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Chlebowski, BCBA
• Sandra A Cho, D.P.M.
• Choices Recovery
• Justin Chow, MD
• Shagufta J Chowhan, M.D.
• Laura Christensen, LSW
• Barbara Ann Christian, MASTERS DEGREE, LCSW
• Patrick Joseph Christianson, P.T.
• Christopher J. Wolf, OD, Inc
• Elyse Noel Chudzynski

• Clinical Pathology/Laboratory Medicine Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Pathology/Laboratory Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.