NPIMap

Individual provider Active NPI

Timothy Dean Blankers, DPM

  • Foot & Ankle Surgery Podiatrist
  • Spencer, IA
National Provider Identifier
1902869803
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00757 Issued in IA
Practice address
1200 1St Ave E
Ste C
Spencer, IA 51301-4342
Phone
(712) 262-7511
Fax
(712) 262-3658
NPI assigned
Apr 11, 2006
Last updated
Jul 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00757 IA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 646 MN

Addresses

Primary practice location

1200 1St Ave E
Ste C
Spencer, IA 51301-4342

Mailing address

1200 1St Ave E
Ste C
Spencer, IA 51301-4342
Phone (712) 262-7511

Other identifiers 2

IdentifierTypeStateIssuer
0269555MedicaidIA
426843100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000696 IA Practitioner - Podiatry 2264572064 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer Municipal HospitalGroup PAC ID 4183533060, 95 clinicians
Lakes Regional HealthcareGroup PAC ID 0941118442, 37 clinicians

Practice addresses (Care Compare)

1200 1St Ave E C
Nwia Bone Joint and Sports Surgeons
Spencer, IA 51301-4342
Phone (712) 262-7511

2408 Zenith Ave
Suite E
Spirit Lake, IA 51360-1068
Phone (712) 336-1230

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00757IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Buena Vista Regional Medical Center Current Accepting new patients
Spencer Municipal Hospital CurrentSince Jan 1, 2020 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Lakes Regional Healthcare Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Lakes Regional Healthcare CurrentSince Jan 1, 2020 Accepting new patients
Spencer Municipal Hospital Foot & Ankle Surgery CurrentSince Jan 1, 2020 Accepting new patients
Buena Vista Regional Medical Center CurrentSince May 1, 2023 Accepting new patients
Buena Vista Regional Medical Center CurrentSince May 1, 2023 Accepting new patients
Spencer Municipal Hospital Past Accepting new patients
Lakes Regional Healthcare Past Accepting new patients

Locations

826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631

826 N 8th St
#A
Estherville, IA 51334
Phone (412) 336-8708

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

1200 1st Ave E
Ste C
Spencer, IA 51301
Phone (712) 262-7511

2301 Highway 71
Spirit Lake, IA 51360
Phone (712) 336-3750

2700 23rd St
Spirit Lake, IA 51360
Phone (712) 336-2410

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

620 Northwestern Dr
Storm Lake, IA 50588
Phone (712) 213-8065

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

Interoperability endpoints

  • Direct secure messaging: timothyblankers@nwiabonejo.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1902869803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "address_2": "STE C",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014342",
            "telephone_number": "712-262-7511",
            "fax_number": "712-262-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "address_2": "STE C",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014342",
            "telephone_number": "712-262-7511",
            "fax_number": "712-262-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKERS",
        "first_name": "TIMOTHY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00757",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0269555",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "426843100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

Verify at the official NPI Registry.