John L Blankemeier, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0050631 Issued in FL

Practice address

2180 N Park Ave
Suite 320
Winter Park, FL 32789-2359

Phone

(407) 629-6440

NPI assigned

Jan 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Psychiatric Professional Services PA

  • Psychiatry Physician
  • Winter Park, FL
  • NPI 1518020775
  NPD (past) Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1780860148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 N PARK AVE",
            "address_2": "SUITE 320",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892359",
            "telephone_number": "407-629-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 N PARK AVE",
            "address_2": "SUITE 320",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892359",
            "telephone_number": "407-629-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKEMEIER",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0050631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Black
• Cassidy Rose Blackton
• Kimberly Blakely, OT
• Gloria Clemencia Blakley, MA-CMHC-CABA
• Dany Blanchet, OTR/L
• Ikram Blaoui
• Gage Bleiler, RMHCI
• Blessings Woman'S Care & Medical Spa
• David Lyle Bloodgood, LMHC
• Charles Stephen Bloom, M.D.

• Psychiatry Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.