Active NPI
Elizabeth Kaylor Blanton
- Family Medicine Physician
- Angola, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02007711A
- Practice address
- 1500 W Maumee St
Angola, IN 46703-8605 - Phone
- (606) 658-4942
- Fax
- (260) 668-5690
- NPI assigned
- Mar 27, 2021
- Last updated
- Aug 15, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02007711A | IN | Primary |
Addresses
Primary practice location
1500 W Maumee St
Angola, IN 46703-8605
Mailing address
416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Marian University College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cameron Memorial Community Hospital Inc
Practice addresses (Care Compare)
1500 W Maumee St
Angola, IN 46703-8605
Phone (260) 667-5670
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Memorial Community Hospital, Inc. | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc | Family Medicine | Current | Accepting new patients |
| Cameron Memorial Community Hospital Inc | Past | Accepting new patients |
Locations
1500 W Maumee St
Angola, IN 46703
Phone (260) 665-8494
306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cameron Anesthesiology
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
dba Cameron Jointaccess Ortho & Urgent Care
- Rural Health Clinic/Center
- Angola, IN
- NPI 1326531179
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1740867498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 E MAUMEE ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467032015",
"telephone_number": "260-667-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W MAUMEE ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467038605",
"telephone_number": "606-658-4942",
"fax_number": "260-668-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANTON",
"first_name": "ELIZABETH",
"middle_name": "KAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-27",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02007711A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Angola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.
- 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.