Individual provider Active NPI

Jasyn Blankenship, DO

  • Cardiovascular Disease Physician
  • Ashland, KY
National Provider Identifier
1659810208
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
05540 Issued in KY
Practice address
617 23Rd St Ste 3
Ashland, KY 41101-2845
Phone
(606) 408-0842
Fax
(606) 408-6073
NPI assigned
Feb 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.011694 PW
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 05540 KY Primary

Addresses

Primary practice location

617 23Rd St Ste 3
Ashland, KY 41101-2845

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-9571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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

Enrollment IDStateProvider typePAC IDDetails
I20200528001466 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082985528 Reassigns benefits to 2 organizations
I20240126002904 KY Practitioner - Cardiovascular Disease (Cardiology) 4082985528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Daughters Medical Specialties Inc 397 clinicians

Practice addresses (Care Compare)

1729 Kinneys LN
Suite 202
Portsmouth, OH 45662-3167
Phone (740) 533-8100

613 23Rd St
Suite 230
Ashland, KY 41101-2868
Phone (606) 324-4745

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361
  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008
  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
  • Three Rivers Medical Center Hospital, Louisa, KY, CCN 180128

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.011694PWMDInternal Medicine Physician
05540KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Sep 1, 2023 Accepting new patients
Kings Daughters Medical Specialties Inc. Cardiovascular Disease CurrentSince Sep 1, 2023 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Oct 1, 2021 Accepting new patients
Kings Daughters Medical Specialties Inc Internal Medicine Current Accepting new patients
Kings Daughters Medical Specialties Inc Internal Medicine Current Accepting new patients
Kings Daughters Medical Specialties Inc Internal Medicine Past Accepting new patients

Locations

613 23rd St
Ste 230
Ashland, KY 41101
Phone (606) 324-4745

617 23rd St
Ste 3
Ashland, KY 41101
Phone (606) 324-3903

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

1729 Kinneys Ln
Ste 202
Portsmouth, OH 45662
Phone (740) 353-8100

214 Collins Ave
Ste A
South Point, OH 45680
Phone (606) 408-8200

8750 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 351-0980

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

Interoperability endpoints

  • Direct secure messaging: jblankenship91024@direct.kdhealth.us
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1659810208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 23RD ST STE 3",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012845",
            "telephone_number": "606-408-0842",
            "fax_number": "606-408-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "JASYN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PW",
            "license": "34.011694",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "05540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.