DR. JOSEPH MARION BLANDFORD JR. (NPI# 1124020300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124020300 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH MARION BLANDFORD JR. |
| Credential | M.D. |
| Practice Address |
4402 Churchman Ave Ste 202 Louisville KY 40215-3100 |
| Mailing Address |
100 E Liberty St Ste 800 Louisville KY 40202-1428 |
| Practice Telephone | 5023661090 |
| Practice Fax Number | 5023661564 |
| Mailing Telephone | 5023661090 |
| Mailing Fax Number | 5023661564 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2019-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 201460 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000050011 | 01 |
| KY | RAILROAD MEDICARE | 020017842 | 01 |
| KY | PASSPORT | 1049012 | 01 |
| KY | 64201460 | 05 | |
| KY | MEDICARE RAILROAD | P01026548 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295240901 | Joseph Blandford IIi | Counselor | 600 S Preston St, Louisville, KY 40202-1716 | 2017-12-05 |
| Street Address |
4402 CHURCHMAN AVE STE 202 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1639535677 | David Geller, Md, Pllc | Surgery | 3999 Dutchmans Ln Ste 1e, Louisville, KY 40207-4741 | 2016-01-06 |
| 1689008567 | William Jewell Oliver | Surgery | 4208 Rivers Edge Ct, Louisville, KY 40222-6176 | 2013-08-27 |
| 1053686196 | Conor O'neill | Surgery | 315 E Broadway Ste 312m-10, Louisville, KY 40202-3700 | 2012-03-21 |
| 1669747853 | Kevin M Riggle | Surgery | 411 E Chestnut St Ste 5, Louisville, KY 40202-1713 | 2012-03-20 |
| 1952676512 | Thomas Curry Dedman | Surgery | 204 Travois Rd, Louisville, KY 40207-1663 | 2012-03-15 |
| 1194017384 | Chandler Donovan Wilfong | Surgery | 12100 Redspire Dr, Apt 204, Louisville, KY 40299-6143 | 2011-05-06 |
| 1114218963 | John Isaac Young | Surgery | 601 S Floyd St Ste 220, Louisville, KY 40202-1835 | 2011-04-28 |
| 1528384195 | Jared Michael Davis | Surgery | 1019 Rosemary Dr, Louisville, KY 40213-1119 | 2010-04-08 |
| 1215164025 | Stewart Reddin Carter | Surgery | 411 E Chestnut St Fl 5, Louisville, KY 40202-1713 | 2009-06-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
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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.