DR. BENJAMIN BLODGETT (NPI# 1831572296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831572296 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN BLODGETT |
| Credential | DPM |
| Practice Address |
370 Bmh Physicians Office Bldg Maryville TN 37804-5819 |
| Mailing Address |
103 W Broadway Ave Maryville TN 37801-4703 |
| Practice Telephone | 8659805360 |
| Mailing Telephone | 8652731752 |
| Mailing Fax Number | 8652731755 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | DPM000000835 | TN | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DPM000000835 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q037959 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538444104 | Benjamin Blodgett | Pharmacist | 79795 Highway 111, La Quinta, CA 92253-4756 | 2011-10-14 |
| Street Address |
370 BMH PHYSICIANS OFFICE BLDG |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154395044 | Mark Ellison Green | Internal Medicine | 370 Bmh Physicians Office Bldg, Maryville, TN 37804-5819 | 2006-02-15 |
| 1689774291 | Gina Lynn Bearden | Nurse Practitioner | 370 Bmh Physicians Office Bldg, Maryville, TN 37804-5819 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417944653 | Louis Aquino | Podiatrist | 122 E Zupan St, Maryville, IL 62062-2010 | 2005-10-03 |
| 1467867234 | Premier Foot and Ankle of Illinois, PC | Podiatrist | 6810 State Route 162, Suite 20, Maryville, IL 62062-8587 | 2014-06-30 |
| 1043521719 | Gabriel Cardenas Jr. | Podiatrist | 6810 State Route 162, Suite 20, Maryville, IL 62062-8587 | 2010-06-28 |
| 1194940650 | R Brent Harbin Dpm Pllc | Podiatrist | 616 W Lamar Alexander Pkwy, Maryville, TN 37801-3904 | 2007-04-17 |
| 1912930793 | Foot Health Center Inc P C | Podiatrist | 122 E Zupan St, Maryville, IL 62062-2010 | 2006-07-08 |
| 1154352599 | Reginald Brent Harbin | Podiatrist | 417 E Lamar Alexander Pkwy, Maryville, TN 37804-5816 | 2006-07-05 |
| 1942280789 | David W Kinscherff | Podiatrist | 122 E Zupan St, Maryville, IL 62062-2010 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623638 | Advanced Diagnostic Imaging PC | Podiatrist | 179 Hancock St Ste 300, Gallatin, TN 37066-6347 | 2020-03-12 |
| 1366099269 | Khumalo Foot and Ankle Clinic, Inc | Podiatrist | 1109 E Reelfoot Ave Ste D, Union City, TN 38261-5866 | 2019-08-25 |
| 1154889533 | Cutting Edge Foot and Ankle | Podiatrist | 3443 Dickerson Pike Ste 310, Nashville, TN 37207-2523 | 2019-03-05 |
| 1902376346 | Family Foot and Ankle Pllc | Podiatrist | 120 Walnut Commons Ln Ste A120, Cookeville, TN 38501-6035 | 2018-11-28 |
| 1649757238 | Healthstar Physicians, P.C. | Podiatrist | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-07-26 |
| 1851817290 | Tennessee Foot & Ankle Specialists PC | Podiatrist | 515 Highland Ter Ste B, Murfreesboro, TN 37130-2424 | 2017-08-17 |
| 1386165694 | Lucy Jayne Barrow | Podiatrist | 300 20th Ave N Ste 103, Nashville, TN 37203-2132 | 2017-06-28 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1982050217 | Francois V. Dijour | Podiatrist | 111 Highway 70 E Ste G, Dickson, TN 37055-2080 | 2016-05-05 |
| 1447614136 | Sallee Taylor Randolph | Podiatrist | 1303 Sunset Dr Ste 6, Johnson City, TN 37604 | 2016-04-08 |
| 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.