Individual provider Active NPI

Paul L Blanchard, MD

  • Internal Medicine Physician
  • Mason, OH
National Provider Identifier
1659340131
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35079460 Issued in OH
Practice address
4605 Duke Dr Ste 220
Mason, OH 45040-1553
Phone
(513) 510-4406
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35079460 OH Primary

Addresses

Primary practice location

4605 Duke Dr Ste 220
Mason, OH 45040-1553

Mailing address

4605 Duke Dr Ste 220
Mason, OH 45040-1553
Phone (513) 510-4406

Other practice location 1

7601 Paragon Rd Ste 203
Dayton, OH 45459-4082
Phone (937) 404-5490

Other practice location 2

2800 Corporate Exchange Dr Ste 170
Columbus, OH 43231-7628
Phone (614) 441-9300

Other identifiers 1

IdentifierTypeStateIssuer
2419369MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000333 OH Practitioner - HospitalistPractitioner - Internal Medicine 4284602681 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35079460OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Queen City Hospice, LLC PastSince Jul 21, 2024 Accepting new patients
Kenwood Hospitalists, LLC Internal Medicine Past Accepting new patients
Miracle City Hospice, LLC PastSince Sep 25, 2020 Accepting new patients
Montgomery Hospitalists LLC Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1659340131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 DUKE DR STE 220",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401553",
            "telephone_number": "513-510-4406",
            "fax_number": "513-672-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 DUKE DR STE 220",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401553",
            "telephone_number": "513-510-4406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 Paragon Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454594082",
            "country_code": "US",
            "telephone_number": "937-404-5490",
            "fax_number": "937-754-7031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Corporate Exchange Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432317628",
            "country_code": "US",
            "telephone_number": "614-441-9300",
            "fax_number": "614-769-6563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35079460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2419369",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.