JEFFERY BRADEN BLANKENSHIP


Address: 119 Fairfield Ave, Suite R102, Bellevue, KY 41073
Phone: 8594310090

JEFFERY BRADEN BLANKENSHIP (NPI# 1740627124) 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) 1740627124
Entity Type Individual
Full Name JEFFERY BRADEN BLANKENSHIP
Credential M.D.
Practice Address 119 Fairfield Ave
Suite R102
Bellevue
KY 41073
Mailing Address Po Box 635283
Cincinnati
OH 45263-5283
Practice Telephone 8594310090
Practice Fax Number 8594313168
Mailing Telephone 8594310090
Mailing Fax Number 8594313168
Enumeration Date 2013-05-27
Last Update Date 2018-09-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 48387 KY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
OH 0138104 05

Office Location

Street Address 119 FAIRFIELD AVE
SUITE R102
City BELLEVUE
State KY
Zip Code 41073

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710983572 Patrick Godfrey Meade Family Medicine 119 Fairfield Ave, Suite R102, Bellevue, KY 41073-1184 2005-06-24
1578012795 Erin Steigerwald Nurse Practitioner 119 Fairfield Ave, #6, Bellevue, KY 41073-1184 2016-09-29
1437404431 Jennifer Amy Adams Family Medicine 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 2012-07-17
1043247711 Debra Schulte Family Medicine 119 Fairfield Ave, Suite R102, Bellevue, KY 41073-1184 2006-06-27
1043247141 Michael P Schulte Family Medicine 119 Fairfield Ave, Suite R102, Bellevue, KY 41073-1184 2006-06-26
1457399024 William R Hammons Family Medicine 119 Fairfield Ave, Suite R102, Bellevue, KY 41073-1184 2006-06-03
1861439937 Michael Grainger Family Medicine 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 2006-05-31
1497792584 Jeremy D Engel Family Medicine 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 2006-05-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467618462 Violet Marie Lichtenstein Registered Nurse 103 Landmark Drive, Bellevue La Health Care, Bellevue, KY 41073 2008-07-30
1033314554 Healing Tables Ltd Co Contractor 405 Fairfield Ave, Bellevue, KY 41073 2007-06-15
1548391428 Dana Porterfield Physical Therapist 103 Landmark Dr Lower Level, Patient First Pt, Bellevue, KY 41073 2007-03-09
1760527105 Melissa Rose Sandoval Social Worker 103 Landmark Drive Ste 300, Department of Veteran's Affairs, Bellevue, KY 41073 2007-02-21
1619900784 Mary D Huhn Social Worker 227 Fairfield Ave, 2nd Floor, Bellevue, KY 41073 2006-07-09
1972169746 Christopher James Kersting Nurse Practitioner 53 Donnermeyer Dr, Bellevue, KY 41073 2019-05-16
1659711851 Olivia Mae Faulkner Estes Dentist 103 Landmark Dr, Bellevue, KY 41073 2013-07-02
1780648642 Thomas E. Tomelin Dentist 103 Landmark Dr, Ll2, Bellevue, KY 41073 2006-04-17
1770584617 Robert A Gerke Internal Medicine 103 Landmark Dr, Bellevue, KY 41073 2005-08-02
1841299260 Mindy Sydnor Nurse Practitioner 103 Landmark Dr, Bellevue, KY 41073 2005-07-18
Find all providers in zip 41073

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013563089 Highland Middle School Health Center Family Medicine 11650 Se 60th St, Bellevue, WA 98006-3702 2019-08-14
1497136121 Shaista Zaman Family Medicine 1600 116th Ave Ne Ste 102, Bellevue, WA 98004-3099 2015-06-18
1457762296 Nafiseh Sadat Haghgoo Family Medicine 400-108th Aven Ne, Bellevue, WA 98004 2014-05-14
1154768802 Sowmya Amin Family Medicine 619 156th Ave Se, Bellevue, WA 98007 2013-06-03
1275979296 Samuel Elias Ross Family Medicine 1255 W Main St Ste B, Bellevue, OH 44811 2013-05-16
1144564097 Fred W Reebs Family Medicine 102 Cascade Ky, Bellevue, WA 98006-1004 2012-11-15
1225387335 Accelecare Wound Professionals of South Carolina, PC Family Medicine 10900 Ne 4th Street Suite 1900, Bellevue, WA 98004 2012-09-05
1003180308 Steven Yee Family Medicine 14505 Bel Red Rd, 100, Bellevue, WA 98007-3936 2012-03-05
1265716799 Healthmax Incorporated Family Medicine 320 106th Ave Ne, Suite A, Bellevue, WA 98004-5791 2011-10-03
1548561954 Martin E. Hanson Family Medicine 9011 Lake Washington Blvd Ne, Bellevue, WA 98004-4826 2010-11-16
Find all providers in BELLEVUE

Competitor

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City BELLEVUE
Zip Code 41073

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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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