KEVIN J BLANKENSHIP (NPI# 1003815515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003815515 |
| Entity Type | Individual |
| Full Name | KEVIN J BLANKENSHIP |
| Credential | MD |
| Practice Address |
63 Wharf St Suite 100 Morgantown WV 26501-5937 |
| Practice Telephone | 3042913627 |
| Practice Fax Number | 3045983630 |
| Mailing Telephone | 3042913627 |
| Mailing Fax Number | 3045983630 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 19121 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MT STATE BCBS | 550783964002 | 01 |
| WV | 0047827000 | 05 | |
| WV | HEALTH PLAN | WV19121A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902122815 | Kevin Randall Blankenship | Counselor | 1024 4th St, Suite B, Taft, CA 93268 | 2010-04-16 |
| 1164086997 | Kevin Blankenship | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2019-04-26 |
| Street Address |
63 WHARF ST SUITE 100 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26501-5937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881134690 | Reed Orthodontics, Inc | Dentist | 63 Wharf St, Suite 100, Morgantown, WV 26501-5937 | 2017-02-27 |
| 1821447624 | Jason Lawrence | Dentist | 63 Wharf St, Suite 100, Morgantown, WV 26501-5937 | 2016-06-13 |
| 1053497875 | Premier Rehabilitation Enterprises, Inc. | Physical Therapist | 63 Wharf St, Suite 50, Morgantown, WV 26501-5937 | 2006-10-27 |
| 1558360610 | Bryan K. Stuchell | Emergency Medicine | 63 Wharf St, Suite 100, Morgantown, WV 26501-5937 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528718 | Billie Jane Shrout | Technician | #4 Ami Dr, Morgantown, WV 26501 | 2020-11-02 |
| 1932668852 | Donald Brubaker | Student in an Organized Health Care Education/Training Program | Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 | 2019-03-19 |
| 1194280446 | Braeden Chase Carroll | Specialist/Technologist | 636 Madison Ave, Morgantown, WV 26501 | 2019-01-31 |
| 1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
| 1922575463 | Heather Lynne Oneal | Midwife | 864 Vandalia Rd, Morgantown, WV 26501 | 2018-11-01 |
| 1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
| 1174922462 | Shelly Cummings | Nurse Practitioner | 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 | 2014-08-22 |
| 1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
| 1073808432 | Megan B Darrah | Occupational Therapist | 6 Edwin Street, Morgantown, WV 26501 | 2011-06-14 |
| 1831325729 | Carol M. Kisner Mcgraw | Occupational Therapist | 26 Commerce Drive, Westover, WV 26501 | 2009-06-05 |
| Find all providers in zip 26501 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679922686 | Ben Lasure | Emergency Medicine | 1 Medical Center Dr Room 7400, Morgantown, WV 26506-9149 | 2016-06-09 |
| 1912355223 | Damian Hegsted | Emergency Medicine | 1 Medical Center Drive, Room 7400, Po Box (9149), Morgantown, WV 26506 | 2016-05-26 |
| 1659784056 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 956 Maple Dr, Morgantown, WV 26505-2813 | 2014-06-04 |
| 1215279872 | Zebula Michael Reed | Emergency Medicine | One Medical Center Drive, Hsc, West Virginia University Hospital, Morgantown, WV 26506-9149 | 2013-03-21 |
| 1295024115 | Walter Mckenna D'alonzo | Emergency Medicine | One Medical Center Drive, Po 9149, West Virginia University Hospitals, Morgantown, WV 26506-9149 | 2011-03-31 |
| 1306080809 | Benjamin Andrew Silverberg | Emergency Medicine | 390 Birch Street, Health and Education Building, Morgantown, WV 26506-6894 | 2009-04-28 |
| 1962655613 | West Virginia University Medical Corporation | Emergency Medicine | 301 Suncrest Towne Centre Drive, Morgantown, WV 26505-1874 | 2008-10-28 |
| 1295902062 | Marion Joyce Colburn | Emergency Medicine | 1 Med Center Dr., Morgantown, WV 26506 | 2008-05-12 |
| 1669655882 | Deborah P. O'neal | Emergency Medicine | 301 Suncrest Town Centre Dr, Morgantown, WV 26505-1874 | 2007-12-11 |
| 1902001563 | Anna Marie Scott | Emergency Medicine | Ruby Memorial Hospital, Morgantown, WV 26505 | 2007-06-15 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26501 |
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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.