Active NPI
Jasyn Blankenship, DO
- Cardiovascular Disease Physician
- Ashland, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 05540
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200528001466 | OH | Practitioner - Cardiovascular Disease (Cardiology) | 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
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
- Kings Daughters Medical Center Ohio
- Southern Ohio Medical Center
- Cabell Huntington Hospital, Inc
- Three Rivers Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.04 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34.011694 | PW | MD | Internal Medicine Physician |
| 05540 | KY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Ohiohealth Urgent Care LLC | Current | 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
- jblankenship91024@direct.kdhealth.us
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.