Individual provider Active NPI

Ryan Blasczyk

  • Case Manager/Care Coordinator
  • Worthington, OH
National Provider Identifier
1811612351
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
150 E Wilson Bridge Rd Ste 250
Worthington, OH 43085-2397
Phone
(740) 348-6016
NPI assigned
Oct 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH Primary

Addresses

Primary practice location

150 E Wilson Bridge Rd Ste 250
Worthington, OH 43085-2397

Mailing address

4295 Braunton Rd
Columbus, OH 43220-4301
Phone (740) 348-6016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Secure Haven Behavioral Health Care Inc CurrentSince Oct 9, 2022 Accepting new patients
Secure Haven Care, LLC PastSince Oct 9, 2022 Accepting new patients

Locations

150 E Wilson Bridge Rd
Ste 250
Worthington, OH 43085
Phone (740) 348-3016

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.

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1811612351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 BRAUNTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432204301",
            "telephone_number": "740-348-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E WILSON BRIDGE RD STE 250",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852397",
            "telephone_number": "740-348-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASCZYK",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.