NPIMap

Individual provider Active NPI

Howard Kirby Blankenship, MD

  • Vascular & Interventional Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1851300446
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME0012220 Issued in FL
Practice address
3380 66TH St N
St Petersburg, FL 33710-1539
Phone
(855) 834-6911
Fax
(813) 354-2714
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X ME12220 FL
Diagnostic Radiology Physician 2085R0202X ME12220 FL
Vascular & Interventional Radiology Physician 2085R0204X ME0012220 FL Primary

Addresses

Primary practice location

3380 66TH St N
St Petersburg, FL 33710-1539

Mailing address

1009 Shipwatch Circle
Tampa, FL 33602-5736
Phone (855) 834-6911

Other identifiers 3

IdentifierTypeStateIssuer
71373SOtherFLORIGINAL MEDICARE PTAN
0463130000MedicaidFL
71393OtherFLBLUE CROSS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0012220FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Florida Emergency Management LLC Past Accepting new patients
Bayfront Medical Center, Inc. Diagnostic Radiology Past Accepting new patients
National Pet Scan Management, LLC PastSince Apr 24, 2022 Accepting new patients
Innovative Imaging Associates, PA Diagnostic Radiology Past Accepting new patients
National P.E.T. Scan Dade, LLC Diagnostic Radiology PastSince Apr 24, 2022 Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients
Largo Radiology Consultants Past Accepting new patients
National P.E.T. Scan Pinellas, LLC Diagnostic Radiology Past Accepting new patients
National P E T Scan Broward LLC Diagnostic Radiology Past Accepting new patients
Bay Area Imaging Solutions LLC Diagnostic Radiology PastSince Jul 1, 2004 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1851300446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 SHIPWATCH CIRCLE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025736",
            "telephone_number": "855-834-6911",
            "fax_number": "813-354-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101539",
            "telephone_number": "855-834-6911",
            "fax_number": "813-354-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "HOWARD",
        "middle_name": "KIRBY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME12220",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME12220",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME0012220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORIGINAL MEDICARE PTAN",
            "identifier": "71373S",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463130000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "71393",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.