BRUCE GARY BLANK (NPI# 1790757490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790757490 |
| Entity Type | Individual |
| Full Name | BRUCE GARY BLANK |
| Credential | DPM |
| Practice Address |
92 N 4th St Suite 27 Martins Ferry OH 43935-1691 |
| Practice Telephone | 7406334188 |
| Practice Fax Number | 7406334716 |
| Mailing Telephone | 7406334188 |
| Mailing Fax Number | 7406334716 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2014-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 00239 | WV | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 36002569 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 480027937 | 01 | |
| OH | 0747213 | 05 | |
| CIGNA | 6491296002 | 01 | |
| OH | HEALTH PLAN | 2569 | 01 |
| AETNA | 4295099 | 01 | |
| WV | 0099535000 | 05 | |
| PA | 01548623 | 05 | |
| MAMSI | 2102991 | 01 | |
| OH | ANTHEM BCBC | 000000141557 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992809966 | Bruce Henry Blank | Urology | 164 Nw Macleay Blvd, Portland, OR 97210-3323 | 2006-09-12 |
| Street Address |
92 N 4TH ST SUITE 27 |
| City | MARTINS FERRY |
| State | OH |
| Zip Code | 43935-1691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174523641 | Renato F Delacruz | Internal Medicine | 92 N 4th St, Martins Ferry, OH 43935-1691 | 2005-07-27 |
| 1699215749 | Alecto East Ohio Physicians, Inc. | Family Medicine | 92 N 4th St, Suite 11, Martins Ferry, OH 43935-1691 | 2017-03-07 |
| 1982974721 | Valley Gastroenterology & Endoscopy | Internal Medicine | 92 N 4th St, Suite 300n, Martins Ferry, OH 43935-1691 | 2012-01-11 |
| 1700177961 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 92 N 4th St, Suite 28, Martins Ferry, OH 43935-1691 | 2011-04-22 |
| 1508040858 | James R Shope Md LLC | Plastic Surgery | 92 N 4th St, Suite A, Martins Ferry, OH 43935-1691 | 2007-12-21 |
| 1356530976 | Wheeling Hospital, Inc. | Clinic/Center | 92 N 4th St, Martins Ferry, OH 43935-1691 | 2007-10-19 |
| 1821298282 | Renato F Delacruz Md | Internal Medicine | 92 N 4th St, Suite 22, Martins Ferry, OH 43935-1691 | 2007-07-23 |
| 1275659633 | Joseph A Gabis Md Inc | Internal Medicine | 92 N 4th St, Martins Ferry, OH 43935-1691 | 2007-03-21 |
| 1831249705 | Reynaldo A Delacruz | Internal Medicine | 92 N 4th St, Suite 10, Martins Ferry, OH 43935-1691 | 2007-01-11 |
| 1013088228 | Sanjay Chaudhry | Specialist | 92 N 4th St, Suite 11, Martins Ferry, OH 43935-1691 | 2006-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323162 | East Ohio Regional Hospital | Pharmacy | 90 N 4th Street, Martins Ferry, OH 43935 | 2020-10-13 |
| 1588199913 | Sydney Paige Shultz | Speech-Language Pathologist | 5000 Ayers Lime Stone Rd, Martins Ferry, OH 43935 | 2017-04-24 |
| 1003202193 | Ann Marie Watson | Nurse Practitioner | 92 N 4th St., Suite 18, Martins Ferry, OH 43935 | 2015-04-15 |
| 1053566349 | Air Evac Ems Inc | Ambulance | 70400 Ayers Dr, Martins Ferry, OH 43935 | 2008-12-01 |
| 1427272491 | Donald D Cash IIi | Home Health Aide | 1099 Central Avenue, Martins Ferry, OH 43935 | 2007-04-12 |
| 1376663443 | Brian Michael Roskovich | Home Health Aide | 12 Sunset Drive, Martins Ferry, OH 43935 | 2007-03-30 |
| 1720108897 | Derek Michael Suto | Home Health Aide | 1348 Roosevelt Ave, Martins Ferry, OH 43935 | 2007-03-30 |
| 1407928385 | Mary Ann Rice | Home Health Aide | 56196 Buckeye Run, Martins Ferry, OH 43935 | 2006-11-15 |
| 1558450163 | Drs Kramer and Assoc | Dentist | 9 North 4th Street, Martins Ferry, OH 43935 | 2006-10-12 |
| 1174630396 | Nepomuceno Dario Jr. | Internal Medicine | 222 N. Fifth Street, Suite 102, Martins Ferry, OH 43935 | 2006-08-24 |
| Find all providers in zip 43935 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659561546 | Podiatry Associates of Eastern Ohio, LLC | Podiatrist | 222 N 5th St Ste 204, Martins Ferry, OH 43935-1582 | 2007-07-27 |
| 1700824117 | Podiatry Associates of Eastern Oh LLC | Podiatrist | 222 N 5th St, Suite 204, Martins Ferry, OH 43935 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518950 | Mobile Foot Care Specialists, L.L.C. | Podiatrist | 38752 Renwood Ave, Avon, OH 44011-5229 | 2020-11-06 |
| 1275159345 | Buckeye Foot Care | Podiatrist | 5105 Som Center Rd Ste 102, Willoughby, OH 44094-4203 | 2020-06-24 |
| 1285289439 | Brent L. Rubin & Associates Inc | Podiatrist | 755 W South Boundary St, Perrysburg, OH 43551-5226 | 2019-08-05 |
| 1902467459 | Zaccardelli and Ritz | Podiatrist | 5556 Ridge Rd, Parma, OH 44129-2305 | 2019-06-25 |
| 1134786635 | Integrity Foot and Ankle Associates, LLC | Podiatrist | 1740 Cooper Foster Park Rd W Ste B, Lorain, OH 44053-4201 | 2019-05-21 |
| 1891351185 | Foot and Ankle Specialists of Central Ohio LLC | Podiatrist | 1 Healthy Place, Suite 202, Pataskala, OH 43062-7067 | 2019-05-13 |
| 1376109660 | Foot and Ankle Specialists of Central Ohio LLC | Podiatrist | 65 E Granville St, Sunbury, OH 43074-9130 | 2019-05-13 |
| 1770149296 | Foot and Ankle Specialists of Central Ohio, LLC | Podiatrist | 6002 E. Main Street, Columbus, OH 43213-3355 | 2019-05-10 |
| 1295390268 | Greenberg Foot and Ankle | Podiatrist | 1989 Miamisburg Centerville Rd Ste 200, Dayton, OH 45459-3858 | 2019-05-06 |
| 1083278287 | Kburtondpm LLC | Podiatrist | 662 Seagull Ct, Westerville, OH 43082-8534 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | MARTINS FERRY |
| Zip Code | 43935 |
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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.