DR. WILLIAM F BLANK JR. (NPI# 1740260652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740260652 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM F BLANK JR. |
| Practice Address |
221 S Main Chaffee MO 63740 |
| Mailing Address |
221 S Main St Po Box 216 Chaffee MO 63740-1040 |
| Practice Telephone | 5738873632 |
| Practice Fax Number | 5738873635 |
| Mailing Telephone | 5738873632 |
| Mailing Fax Number | 5738873635 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
34699 | MO | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912566597 | William Alden Blank | Ophthalmology | W5843 Vista Dr, La Crosse, WI 54601-7120 | 2019-06-07 |
| 1235121864 | William Frederick Blank IIi | Podiatrist | 18960 N Memorial Dr, Humble, TX 77338-4216 | 2005-08-19 |
| 1891912739 | William Alan Blank | Psychologist | 137 Hollow Tree Ridge Rd, Apartment 403, Darien, CT 06820-5045 | 2007-04-20 |
| 1124172424 | William Blank | Dentist | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2007-01-23 |
| 1902851967 | William Blank | Urology | 800 Poly Pl, 112a, Brooklyn, NY 11209-7104 | 2006-05-24 |
| Street Address |
221 S MAIN |
| City | CHAFFEE |
| State | MO |
| Zip Code | 63740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033216924 | Bobby Tom Moudy | Dentist | 135 West Yoakum, Chaffee, MO 63740 | 2006-09-20 |
| 1750697322 | Carter P Fenton Sr Clinics Inc | Family Medicine | 206 S Main St, Chaffee, MO 63740-1002 | 2010-08-20 |
| 1972726446 | Carter P Fenton Sr. | Family Medicine | 206 S Main St, Chaffee, MO 63740-1002 | 2007-04-11 |
| 1861893737 | Chance Eric White | Physical Therapist | 407 E Parker Ave, Chaffee, MO 63740-1030 | 2014-09-10 |
| 1790976686 | Heartland Laboratory Inc | Clinical Medical Laboratory | 221 S Main St, Chaffee, MO 63740-1040 | 2007-08-06 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1457762783 | Terri Semmler | Physical Therapy Assistant | 243 W Yoakum Ave, Chaffee, MO 63740-1138 | 2014-05-08 |
| 1033166517 | Kiefer Thompson Pharma | Durable Medical Equipment & Medical Supplies | 211 W Yoakum Ave, Chaffee, MO 63740-1138 | 2006-05-28 |
| 1609248822 | Fit24, LLC | Physical Therapist | 243 W Yoakum Ave, Chaffee, MO 63740-1138 | 2015-10-27 |
| 1174903504 | Nancy Blattel | Physical Therapy Assistant | 243 W Yoakum Ave, Chaffee, MO 63740-1138 | 2015-06-01 |
| Find all providers in zip 63740 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407881378 | Xiao Dong Wang | Pathology | 6944 N Hanley Rd, Hazelwood, MO 63042-2933 | 2006-07-11 |
| 1063660918 | Anna Venneman | Pathology | 200 Portland St, Columbia, MO 65201-6525 | 2008-09-04 |
| 1265689947 | Cecilia Mercedes Rosales | Pathology | 10330 Hickman Mills Dr, Kansas City, MO 64137-1618 | 2008-08-25 |
| 1891976866 | Sarah Noel Walsh | Pathology | 2326 Millpark Dr, Maryland Heights, MO 63043-3530 | 2007-11-19 |
| 1730258708 | Shawn Barrett Jackson | Pathology | 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | 2006-11-06 |
| 1134143761 | Skin Pathology LLC | Pathology | 6944 N Hanley Rd, Hazelwood, MO 63042-2933 | 2006-07-27 |
| 1265450738 | Louis P Dehner | Pathology | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2006-07-17 |
| 1548286776 | Dongsi Lu | Pathology | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2006-07-14 |
| 1932151404 | Grace Lee | Pathology | 660 Office Pkwy, Saint Louis, MO 63141-7103 | 2006-05-16 |
| 1649228875 | Robert F Cheek | Pathology | 200 Portland St, Columbia, MO 65201-6525 | 2006-05-04 |
| Find all providers with the same taxonomy | ||||
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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.