HAROLD W. BLEVINS, M.D.,P.S.C.


Address: 3999 Dutchmans Ln Ste 3a, Louisville, KY 40207-4747
Phone: 5028977300

HAROLD W. BLEVINS, M.D.,P.S.C. (NPI# 1659420800) 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) 1659420800
Entity Type Organization
Organization Name HAROLD W. BLEVINS, M.D.,P.S.C.
Other Organization Name ENT ASSOCIATES
Practice Address 3999 Dutchmans Ln Ste 3a
Louisville
KY 40207-4747
Practice Telephone 5028977300
Practice Fax Number 5028973332
Mailing Telephone 5028977300
Mailing Fax Number 5028973332
Enumeration Date 2007-01-09
Last Update Date 2017-01-05
Authorized Official Name DR. MICHAEL J BROWN (PRESIDENT)
Authorized Official Telephone 5028977300
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY PASSPORT GROUP # 1051605 01
KY PASSPORT ADVANTAGE 2433078000 01
KY ANTHEM GROUP NUMBER 000000057654 01
R R MEDICARE NUMBER CB3563 01
UNICARE NUMBER 000000057654 01
IN 200458400A 05

Other Provider/Organization Names

Other Name Type Code
ENT Associates Doing Business As Name - Organization

Office Location

Street Address 3999 DUTCHMANS LN STE 3A
City LOUISVILLE
State KY
Zip Code 40207-4747

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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720245657 Sean Michael Maguire Otolaryngology 4600 Shelbyville Rd, Suite 220, Louisville, KY 40207-3326 2008-05-19
1548441850 Dr. Harold Blevins Otolaryngology 5129 Dixie Hwy Ste 209, Louisville, KY 40216-1727 2007-11-15
1194929018 Aesthetic Specialists Pllc Otolaryngology 10262 Shelbyville Rd, Louisville, KY 40223-2955 2007-06-13
1083731277 Premier Ent and Allergy, Pllc Otolaryngology 2429 Bush Ridge Dr Ste 103, Louisville, KY 40245-5914 2007-03-23
1912061599 Jeffrey Brian Jorgensen Otolaryngology 401 E Chestnut St Unit 170, Louisville, KY 40202 2006-12-20
1821046426 Harold W Blevins Otolaryngology 3999 Dutchmans Ln, Suite #3a, Suburban Plaza One, Louisville, KY 40207-4714 2006-05-05
1023006681 Carl D Coppola Otolaryngology 2429 Bush Ridge Drive, Suite 103, Louisville, KY 40245-5914 2005-10-07
1730188285 Jolene H Boswell Otolaryngology 4600 Shelbyville Rd Ste 220, Louisville, KY 40207-3398 2005-07-18
1467450049 Andrew Simon Mickler Otolaryngology 3999 Dutchmans Ln, Suburban Medical Plaza I Ste 2g, Louisville, KY 40207-4729 2005-07-08
1720084262 Kenneth Lorne Balcombe Otolaryngology 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3372 2005-06-21
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City LOUISVILLE
Zip Code 40207

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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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