Active NPI
Paul L Blanchard, MD
- Internal Medicine Physician
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35079460
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2419369 | Medicaid | OH |
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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35079460 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Queen City Hospice, LLC | Past | Accepting new patients | |
| Kenwood Hospitalists, LLC | Internal Medicine | Past | Accepting new patients |
| Miracle City Hospice, LLC | Past | 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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1912953951
-
- Community Based Hospice Care Agency
- Broadview Heights, OH
- NPI 1134267081
-
- Hospitalist Physician
- Cincinnati, OH
- NPI 1013158815
-
- Community Based Hospice Care Agency
- Mason, OH
- NPI 1437432929
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.