Harley M. Blank MD and Associates Inc

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

35027415 Issued in OH

Legal business name

HARLEY M. BLANK MD AND ASSOCIATES INC

Practice address

1243 E Broad St
Columbus, OH 43205

Phone

(614) 251-1800

Fax

(614) 251-1818

NPI assigned

Jun 17, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Susan J Gearhart

Title

Billing Manager

Phone

(614) 238-3255

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1801023791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST",
            "address_2": "SUITE 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131546",
            "telephone_number": "614-864-0670",
            "fax_number": "614-864-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43205",
            "telephone_number": "614-251-1800",
            "fax_number": "614-251-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEY M. BLANK MD AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "GEARHART",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "614-238-3255",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35027415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167939",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Harkless, APRN
• Alexander S Harlan, RPH
• Shannon Harlan
• Shaun Harlan
• Diana Harless
• Timothy Harlin
• Shelby Billeaud Harlock, CNP
• Catherine Harlow, RN, BSN
• Ella Harman
• Hannah Harman, CDCA

• Gynecology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.