Blankenship Internal Medicine, L.L.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2005009945 Issued in MO

Legal business name

BLANKENSHIP INTERNAL MEDICINE, L.L.C.

Practice address

1905 W 32ND St
Ste. 407
Joplin, MO 64804-1529

Phone

(417) 782-2125

Fax

(417) 782-2145

NPI assigned

Jul 10, 2009

Last updated

Jul 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harold Blankenship, D.O.

Title

Member/Owner

Phone

(417) 782-2125

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Harold Blankenship, D.O., F.A.C.O.I. Other name

Locations

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1841429909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W 32ND ST",
            "address_2": "STE. 407",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041529",
            "telephone_number": "417-782-2125",
            "fax_number": "417-782-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 32ND ST",
            "address_2": "STE. 407",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041529",
            "telephone_number": "417-782-2125",
            "fax_number": "417-782-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANKENSHIP INTERNAL MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "417-782-2125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2005009945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207291402",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "197311",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100183010A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200312050A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00215074",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harold Blankenship, D.O., F.A.C.O.I.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrew Joseph Blaes, NP
• Jason Wells Blair, D.O.
• Jill Blair
• Robin Blair
• Cara Lynn L Bland, LCSW
• Krysti M Blankenship, NP
• Melinda C Blankenship
• Rachel F Blankenship
• Deborah Blinzler
• Bloom Behavioral Group

• Internal Medicine Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.