JASON BLANCHARD (NPI# 1457747271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457747271 |
| Entity Type | Individual |
| Full Name | JASON BLANCHARD |
| Credential | DPM |
| Practice Address |
1605 E Broadway Ste 110 Columbia MO 65201-8023 |
| Practice Telephone | 5738158130 |
| Practice Fax Number | 5738158149 |
| Mailing Telephone | 5738158130 |
| Mailing Fax Number | 5738158149 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2018022799 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 1457747271 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17601 B Hwy, Boonville, MO 65233 | 6608822121 | 6608827073 |
| 9034 Columbia Ave, Munster, IN 463212905 | 2198360296 | 2198360570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581050 | Jason L Blanchard | Dentist | 8089 S Lincoln St #102, Littleton, CO 80122-2719 | 2005-07-12 |
| Street Address |
1605 E BROADWAY STE 110 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-8023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801849252 | Paul William Schoephoerster | Family Medicine | 1605 E Broadway Ste 110, Columbia, MO 65201-8023 | 2006-05-18 |
| 1235790833 | Sarah Rene Mcbee | Nurse Practitioner | 1605 E Broadway Ste 110, Columbia, MO 65201-8023 | 2019-06-25 |
| 1336671023 | Bethany Ranee Mullinix | Family Medicine | 1605 E Broadway Ste 110, Columbia, MO 65201-8023 | 2017-03-31 |
| 1548492309 | Jamilah Shubeilat | Internal Medicine | 1605 E Broadway Ste 110, Columbia, MO 65201-8023 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1912388661 | Evan K Yoo | Podiatrist | 5500 Knoll North Dr Ste 440, Columbia, MD 21045-2364 | 2015-06-17 |
| 1831539303 | Benjamin David Elgamil | Podiatrist | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2013-06-28 |
| 1154627008 | Michelle P Glover | Podiatrist | 3 Richland Medical Park Suite 110, Columbia, SC 29203 | 2011-02-09 |
| 1457440265 | Hyman David Gottlieb | Podiatrist | 11733 Lone Tree Ct, Columbia, MD 21044-4310 | 2006-10-11 |
| 1730176249 | Harry Cotler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2005-09-29 |
| 1720088149 | Bryan Davies | Podiatrist | 6439 Garners Ferry Rd, Columbia, SC 29209 | 2005-07-28 |
| 1003420225 | Foot and Ankle Pain Center LLC | Podiatrist | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2020-09-04 |
| 1356791735 | Matthew Engelthaler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2016-06-16 |
| 1013393297 | Carly Chapman | Podiatrist | 1516 Calhoun St, Columbia, SC 29201 | 2015-08-10 |
| Find all providers in COLUMBIA | ||||
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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.