Robert D Blankenship (NPI# 1669465365, PAC ID# 5890780241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1669465365 |
| PAC ID by PECOS | 5890780241 |
| Professional Enrollment ID | I20040419001327 |
| Full Name | Robert D Blankenship |
| Organization Legal Name | GRANITE CITY PHYSICIANS CORP |
| Address |
2044 Madison Ave Granite City IL 62040-4641 |
| Phone Number | 6184511500 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1965 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 3274594643 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140125 | GATEWAY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2044 Madison Ave, Granite City, IL 62040-4641 | 6184511500 | GRANITE CITY PHYSICIANS CORP |
| 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 | 6184511500 | GRANITE CITY PHYSICIANS CORP |
| Organization Legal Name | GRANITE CITY PHYSICIANS CORP |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajinder Kumar Mahay | Internal Medicine | Granite City Physicians Corp | 3908 Maryville Rd, Suite 4, Granite City, IL 62040-4197 |
| Benedict F Painter | Infectious Disease | Granite City Physicians Corp | 2044 Madison Ave, Suite 23, Granite City, IL 62040-4660 |
| Laurie Hopper | Nurse Practitioner | Granite City Physicians Corp | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 |
| Lawrence T Harmon | Internal Medicine | Granite City Physicians Corp | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 |
| Michael C Adams | Internal Medicine | Granite City Physicians Corp | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 |
| Murtuza H Bahrainwala | Internal Medicine | Granite City Physicians Corp | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 |
| Natalie D Menossi | Physician Assistant | Granite City Physicians Corp | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 |
| Elizabeth P Mincy | Nurse Practitioner | Granite City Physicians Corp | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 |
| Diane M Schwind | Nurse Practitioner | Granite City Physicians Corp | 1261 University Dr, Suite E, Edwardsville, IL 62025-5587 |
| Street Address |
2044 MADISON AVE |
| City | GRANITE CITY |
| State | IL |
| Zip | 62040-4641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benedict F Painter | Infectious Disease | Granite City Physicians Corp | 2044 Madison Ave, Suite 23, Granite City, IL 62040-4660 |
| Runda A El Khatib | Family Medicine | Granite City Clinic Corp | 2044 Madison Ave, Suite 27, Granite City, IL 62040-4661 |
| Laurie Hopper | Nurse Practitioner | Granite City Physicians Corp | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 |
| Lawrence T Harmon | Internal Medicine | Granite City Physicians Corp | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 |
| Paul J Pace | General Surgery | Granite City Clinic Corp | 2044 Madison Ave, Suite 25, Granite City, IL 62040-4660 |
| Fred B Ginsberg | Interventional Pain Management | Granite City Clinic Corp | 2044 Madison Ave, G1, Granite City, IL 62040-4641 |
| Melissa L Kalaher | Family Medicine | Granite City Clinic Corp | 2044 Madison Ave, Suite 25, Granite City, IL 62040-4660 |
| Delora Brooks | Nurse Practitioner | Granite City Clinic Corp | 2044 Madison Ave, Suite 25, Granite City, IL 62040-4660 |
| Irmady B Hegde | Physical Medicine and Rehabilitation | 2044 Madison Ave, Suite 15, Granite City, IL 62040-4641 | |
| Rahul Bansal | Psychiatry | Granite City Clinic Corp | 2044 Madison Ave, Suite 27, Granite City, IL 62040-4661 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Darr | Clinical Social Worker | 1635 W 1st St, Suite 110, Granite City, IL 62040-1883 | |
| Rita A Tucker | Nurse Practitioner | Westco Haggerty Medical Partners, P.a. | 3500 Century Dr, Granite City, IL 62040-2166 |
| Valerie J Barber | Optometry | 4182 Nameoki Rd, Granite City, IL 62040-2330 | |
| Mark Alan Kleindorfer | Optometry | 1801 Pontoon Rd, Granite City, IL 62040-2338 | |
| Alice Halliday | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Danielle Homan | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Stephanie Boerding | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Ashley Marie Hynes | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Robert J Montgomery | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Andrew L Dorough | Chiropractic | Dr E L Strotheide Ltd | 3412 Nameoki Rd, Granite City, IL 62040-3702 |
| Find all physicians in zip 62040 | |||
| City | GRANITE CITY |
| Zip Code | 62040 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | GRANITE CITY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Robert D Blankenship.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.