ROGER J BLANDFORD (NPI# 1740373117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740373117 |
| Entity Type | Individual |
| Full Name | ROGER J BLANDFORD |
| Credential | PA-C, ATC |
| Practice Address |
317 Seven Springs Way Ste 101 Brentwood TN 37027-4576 |
| Practice Telephone | 6153709992 |
| Practice Fax Number | 6153709665 |
| Mailing Telephone | 6153709992 |
| Mailing Fax Number | 6153709665 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL1436 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 363A00000X | Physician Assistant | 006042 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 3915 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA 9105450 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q051014 | 05 | |
| GA | 003108303B | 05 | |
| GA | 003108303C | 05 |
| Street Address |
317 SEVEN SPRINGS WAY STE 101 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-4576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194210005 | Seven Springs Orthopaedics, PC | Physical Therapist | 317 Seven Springs Way Ste 101, Brentwood, TN 37027-4576 | 2018-06-25 |
| 1720513369 | Stephanie Santa Ana | Physician Assistant | 317 Seven Springs Way Ste 101, Brentwood, TN 37027 | 2017-04-20 |
| 1649601253 | Stephen Johnson | Nurse Practitioner | 317 Seven Springs Way Ste 101, Brentwood, TN 37027 | 2013-12-06 |
| 1922448786 | William E Kelley | Physical Therapist | 317 Seven Springs Way Ste 101, Brentwood, TN 37027-4576 | 2013-06-26 |
| 1114298684 | Stacey Leigh Groves | Physician Assistant | 317 Seven Springs Way Ste 101, Brentwood, TN 37027 | 2012-01-15 |
| 1881850410 | Jamie S Mcneely | Physician Assistant | 317 Seven Springs Way Ste 101, Brentwood, TN 37027-4576 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609385194 | Lauren Downs | Physician Assistant | 5141 Virginia Way Ste 390, Brentwood, TN 37027-9505 | 2017-09-27 |
| 1306393814 | Morgan Harris Bailey | Physician Assistant | 1649 Westgate Cir #100, Brentwood, TN 37027 | 2016-09-01 |
| 1669826772 | Scott Lyons | Physician Assistant | 77 Fran St, Brentwood, NY 11717-1106 | 2016-04-15 |
| 1235528456 | Ari Hardin | Physician Assistant | 1195 Old Hickory Blvd Ste 102, Brentwood, TN 37027-4239 | 2015-01-12 |
| 1366871030 | Carrie Elizabeth Lewey | Physician Assistant | 5123 Virginia Way Ste B11, Brentwood, TN 37027-7519 | 2013-11-04 |
| 1922065556 | Robert Relic | Physician Assistant | 210 Franklin Rd, Suitew 4b, Brentwood, TN 37027-3218 | 2006-04-27 |
| 1033103981 | Tosha A Marquardt | Physician Assistant | 9000a Church St East, Brentwood, TN 37027 | 2005-09-07 |
| 1407453954 | Jeffery Stephen Norman | Physician Assistant | 1622 Westgate Cir, Brentwood, TN 37027-8019 | 2020-10-07 |
| 1518503655 | App of East Tennessee Hm Pllc | Physician Assistant | 5121 Maryland Way Ste 300, Brentwood, TN 37027-7516 | 2019-11-25 |
| 1861965378 | Hina Anjum Siddiqui | Physician Assistant | 1550 Shining Ore Dr, Brentwood, TN 37027-2218 | 2019-01-07 |
| Find all providers in BRENTWOOD | ||||
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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.