PHILIP A. BLANEY (NPI# 1063850576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063850576 |
Entity Type | Individual |
Full Name | PHILIP A. BLANEY |
Credential | M.D. |
Practice Address |
315 N Dan Jones Rd Ste 120 Plainfield IN 46168 |
Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
Practice Telephone | (317) 837-4611 |
Mailing Telephone | 3175284800 |
Mailing Fax Number | 3178651479 |
Enumeration Date | 2013-06-06 |
Last Update Date | 2020-01-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 01076512A | IN | Allopathic & Osteopathic Physicians |
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
01076512A | IN | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 11017286A | IN | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 300007592 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
5255 E Stop 11 Rd Ste 310, Indianapolis, IN 462376341 | 3178374611 |
Street Address |
315 N DAN JONES RD STE 120 |
City | PLAINFIELD |
State | IN |
Zip Code | 46168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922614825 | Indiana Behavioral Innovations LLC | Psychiatric Hospital | 1051 Southfield Dr, Plainfield, IN 46168 | 2020-09-17 |
1295243731 | Quad/med, LLC | Clinic/Center | 9998 Allpoints Parkway, Plainfield, IN 46168 | 2018-01-18 |
1255702478 | Dental Professionals of Indiana, PC | Dentist | 2455 E. Main St., Suite 104, Plainfield, IN 46168 | 2015-10-14 |
1760861991 | Audrey Falkenstein | Behavioral Analyst | 1599 Township Line Road, Plainfield, IN 46168 | 2015-05-20 |
1356751754 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 400 Dan Jones Rd, Plainfield, IN 46168 | 2014-05-07 |
1841612835 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 5865 Sugar Lane, Plainfield, IN 46168 | 2014-01-10 |
1659622512 | Integrity Behavioral Solutions, LLC | Behavioral Analyst | 1599 Township Line Rd., Plainfield, IN 46168 | 2012-10-01 |
1720348428 | Robert J. Krause, D.c., P.C. | Chiropractor | 1729 E. Main Street, Plainfield, IN 46168 | 2012-05-29 |
1205075561 | Amanda Nicole Harty | Speech-Language Pathologist | 611 White Lick Lane, Plainfield, IN 46168 | 2009-02-10 |
1952559452 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2733 East Main Street, #130, Plainfield, IN 46168 | 2008-09-09 |
Find all providers in zip 46168 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962061135 | Central Indiana Orthopedics, PC | Family Medicine | 14300 E 138th Bldg B, Fishers, IN 46037-0087 | 2019-06-11 |
1104326909 | Orthopaedic Associates, Inc. | Family Medicine | 4011 Gateway Blvd Ste 100, Newburgh, IN 47630-8947 | 2018-02-19 |
1700231313 | Heather Saffel | Family Medicine | 111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 | 2016-05-02 |
1922477686 | Orthopaedic Associates, Inc. | Family Medicine | 5828 Pearl Dr, Evansville, IN 47712-8116 | 2015-09-23 |
1295137925 | Ball State University | Family Medicine | Hp 260, Muncie, IN 47306-0001 | 2014-09-25 |
1992118822 | Zachary Conner Ritchie | Family Medicine | 301 Satori Pkwy Ste 120, Avon, IN 46123-6407 | 2014-06-09 |
1740692078 | Joel Jaeger | Family Medicine | 275 W Bassett Rd Ste 3, Shelbyville, IN 46176-8575 | 2014-05-21 |
1457652992 | Martha Ann Taylor | Family Medicine | 105 Hendron Hills Dr, Vincennes, IN 47591-3638 | 2010-11-16 |
1649598707 | Rajih Y Haddawi | Family Medicine | 2631 S Atlee St, Bloomington, IN 47401-4536 | 2010-05-12 |
1538300561 | Michael Robert Messmer | Family Medicine | 3221 Beacon Parkway, Granger, IN 46530 | 2009-03-21 |
Find all providers with the same taxonomy |
City | PLAINFIELD |
Zip Code | 46168 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.