TABULA RASA, PLLC


Address: 1296 Robert C. Byrd Drive, Crab Orchard, WV 25827
Phone: 6812385957

TABULA RASA, PLLC (NPI# 1407396773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407396773
Entity Type Organization
Organization Name TABULA RASA, PLLC
Practice Address 1296 Robert C. Byrd Drive
Crab Orchard
WV 25827
Mailing Address Po Box 415
Crab Orchard
WV 25827-0415
Practice Telephone 6812385957
Practice Fax Number 6812385958
Mailing Telephone 6812385957
Mailing Fax Number 6812385958
Enumeration Date 2017-03-06
Last Update Date 2017-03-06
Authorized Official Name DR. KEVIN BLANKENSHIP (OWNER)
Authorized Official Telephone 6812385957
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 19121 WV Managed Care Organizations

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730628025 Tabula Rasa, Pllc Exclusive Provider Organization 1296 Robert C. Byrd Dr, Crab Orchard, WV 25827 2017-02-20

Office Location

Street Address 1296 ROBERT C. BYRD DRIVE
City CRAB ORCHARD
State WV
Zip Code 25827

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417432287 Steven Warren Sturgill Counselor 1296 Robert C. Byrd Drive, Crab Orchard, WV 25827 2018-09-27
1578003646 Brooke Blankenship Counselor 1296 Robert C. Byrd Drive, Crab Orchard, WV 25827-0415 2017-03-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992305221 Chassity Lavone Yost Technician 147 Celestial St., Crab Orchard, WV 25827 2020-10-27
1811504947 Sarah Nicole Cooper Case Manager/Care Coordinator 1295 Robert C. Byrd Dr., Crab Orchard, WV 25827 2020-09-23
1275140303 Falynn Lee Canaday Case Manager/Care Coordinator 1295 Robert C Byrd Drive, Crab Orchard, WV 25827 2020-09-23
1518572817 Augusta Jane Bailey Technician 150 Orchard Woods, Crab Orchard, WV 25827 2020-09-14
1689287856 Jeremy Adam Ferguson Technician 235 Hick Hollow Rd., Josephine, WV 25827 2020-08-28
1891279576 Kathlyn Landis Sallaz Pharmacist 1299 Robert C Byrd Dr., Crab Orchard, WV 25827 2018-09-19
1730628025 Tabula Rasa, Pllc Exclusive Provider Organization 1296 Robert C. Byrd Dr, Crab Orchard, WV 25827 2017-02-20
1831645464 Pnb Community/Behavioral Health 1289 Robert C Byrd Dr, Suite 4, Crab Orchard, WV 25827 2016-09-01
1659509982 Kaitlin Ann Blackburn Registered Nurse 118 Shepherd Lane, Crab Orchard, WV 25827 2009-06-25
1437329851 Robin Eileen Parsons Registered Nurse 163 Pittman Rd., Crab Orchard, WV 25827 2008-03-03
Find all providers in zip 25827

Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871894006 Robert C Yee Md PC Preferred Provider Organization 120 Professional Park, Beckley, WV 25801-3623 2010-11-04
1366758021 Levin & Associates Pllc Preferred Provider Organization 170 Thompson Dr Ste 103, Bridgeport, WV 26330-2608 2010-08-19
1316159502 Darnell and Parsons Pllc Preferred Provider Organization 4502 Maccorkle Ave., Se, Suite B, Charleston, WV 25304-1835 2007-05-03
1699128678 Stephens Therapy Preferred Provider Organization 523 11th St, Huntington, WV 25701-2210 2016-07-14
1184879660 Drs Sharps and Looper of Fairmont Pllc Preferred Provider Organization 32 Tygart Mall Loop, White Hall, WV 26554 2008-11-25
1730347402 The Martinsburg Work Center II Preferred Provider Organization 24 Integrity Ter, Martinsburg, WV 25405-3524 2008-05-29
1669664231 P.r.i.d.e. Inc. Preferred Provider Organization 699 Stratton St, Logan, WV 25601-4020 2007-08-16
1003017492 Sandal, Inc Preferred Provider Organization 2910 Emerson Ave, Parkersburg, WV 26104-2519 2007-05-31
1588718878 Newpage Pharmacy Preferred Provider Organization 22 Orchard St, Piedmont, WV 26750-1036 2007-01-23

Competitor

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City CRAB ORCHARD
Zip Code 25827

Improve Information

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Dataset Information

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.

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