NPIMap

Individual provider Active NPI

Michael S Blank, MD

  • Infectious Disease Physician
  • Sandusky, OH
National Provider Identifier
1710926985
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35-08-6360 Issued in OH
Practice address
1912 Hayes Ave
Sandusky, OH 44870-4736
Phone
(419) 557-6780
Fax
(419) 557-6783
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35-08-6360 OH Primary

Addresses

Primary practice location

1912 Hayes Ave
Sandusky, OH 44870-4736

Mailing address

1031 Pierce Street
Suite D
Sandusky, OH 44870
Phone (419) 557-5541

Other identifiers 1

IdentifierTypeStateIssuer
2595179MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926001049 OH Practitioner - Infectious DiseasePractitioner - Internal Medicine 8729012026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1912 Hayes Ave
Sandusky, OH 44870-4736
Phone (419) 557-6780

Hospital & facility affiliations

  • FRMC Home Health Services Home health agency, Sandusky, OH, CCN 367691
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Fisher-Titus Hospital Hospital, Norwalk, OH, CCN 360065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC Infectious Disease CurrentSince Aug 1, 2005 Accepting new patients
North Coast Professional Company, LLC CurrentSince Aug 1, 2005 Accepting new patients

Locations

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

1912 Hayes Ave
Ste 1E
Sandusky, OH 44870
Phone (419) 557-5541

703 Tyler St
Ste 150
Sandusky, OH 44870
Phone (419) 625-8722

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1031 Pierce St
Ste D
Sandusky, OH 44870

1221 Hayes Ave
Ste B
Sandusky, OH 44870
Phone (419) 557-6550

1912 Hayes Ave
Sandusky, OH 44870
Phone (419) 609-1460

Interoperability endpoints

  • Direct secure messaging: michael.blank@fpg.medicity.net

Organizations & group practices 2

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 7

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1710926985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PIERCE STREET",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-557-6780",
            "fax_number": "419-557-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35-08-6360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2595179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.