Active NPI
Dunkin-Blanton Health Center
- Specialist
- West Union, OH
National Provider Identifier
1700075603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35050128D
- Legal business name
- DUNKIN-BLANTON HEALTH CENTER
- Practice address
- 211 N Wilson Dr
West Union, OH 45693-1562 - Phone
- (937) 544-5698
- Fax
- (937) 544-1708
- NPI assigned
- Oct 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Elaine Dunkin-Blanton, M.D
- Title
- Owner/Physician
- Phone
- (937) 544-5698
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35050128D | OH | Primary |
Addresses
Primary practice location
211 N Wilson Dr
West Union, OH 45693-1562
Mailing address
211 N Wilson Dr
West Union, OH 45693-1562
Phone (937) 544-5698
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0558570 | Medicaid | OH | |
| 300016 | Other | OH | AMERIGROUP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1700075603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N WILSON DR",
"city": "WEST UNION",
"state": "OH",
"postal_code": "456931562",
"telephone_number": "937-544-5698",
"fax_number": "937-544-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N WILSON DR",
"city": "WEST UNION",
"state": "OH",
"postal_code": "456931562",
"telephone_number": "937-544-5698",
"fax_number": "937-544-1708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNKIN-BLANTON HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "DUNKIN-BLANTON",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "937-544-5698",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OH",
"license": "35050128D",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0558570",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "300016",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Union, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.