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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | 19121 | WV | Managed Care Organizations |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730628025 | Tabula Rasa, Pllc | Exclusive Provider Organization | 1296 Robert C. Byrd Dr, Crab Orchard, WV 25827 | 2017-02-20 |
Street Address |
1296 ROBERT C. BYRD DRIVE |
City | CRAB ORCHARD |
State | WV |
Zip Code | 25827 |
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 |
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 Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
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 |
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 |
City | CRAB ORCHARD |
Zip Code | 25827 |
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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.