Blazing Grace Medical, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

BLAZING GRACE MEDICAL, LLC

Doing business as

BLAZING GRACE NEPHROLOGY

Practice address

953 Stevens Dr Ste C
Richland, WA 99352-3533

Phone

(509) 578-1714

Fax

(509) 578-1715

NPI assigned

Oct 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Obioma Nnamdi Onuorah, MDNPI 1982706818

Title

Administrator/Physician

Phone

(509) 578-1714

Specialties & licenses 1

Addresses

Other names 1

• BLAZING GRACE NEPHROLOGY Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Obioma Nnamdi Onuorah, M.D.

  • Nephrology Physician
  • Kennewick, WA
  • NPI 1982706818
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1790326502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 W 50TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993374620",
            "telephone_number": "918-577-2557",
            "fax_number": "509-578-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 STEVENS DR STE C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523533",
            "telephone_number": "509-578-1714",
            "fax_number": "509-578-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAZING GRACE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "ONUORAH",
        "authorized_official_first_name": "OBIOMA",
        "authorized_official_middle_name": "NNAMDI",
        "authorized_official_title_or_position": "ADMINISTRATOR/PHYSICIAN",
        "authorized_official_telephone_number": "509-578-1714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLAZING GRACE NEPHROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Blaisdell, CPO, LPO
• Jeremy R Blanchard, M.D.
• Hayde Blanco
• Timothy Seth Blanscett, ARNP
• Dale J Blatter, PT
• Jared V Bloxham, D.D.S.
• BLTS Enterprises
• Blue Mountain Pharmacies LLC
• Katy M. Bluher, L.M.P
• Lilya Bobov, CBT

• Nephrology Physician in Richland, WA
• Providers in Richland, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.