JIM D BLUNK (NPI# 1962402537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962402537 |
| Entity Type | Individual |
| Full Name | JIM D BLUNK |
| Credential | DO |
| Practice Address |
415 S Osage St Caldwell KS 67022-1650 |
| Mailing Address |
5300 N Independence Ave 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 6208452516 |
| Practice Fax Number | 6208452518 |
| Mailing Telephone | 6208452516 |
| Mailing Fax Number | 6208452518 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2018-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2082 | OK | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 05-19457 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100193490B | 05 | |
| KS | 100229560B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 415 S Osage St, Caldwell, KS 670221650 | 6208452516 | 6208452518 |
| Street Address |
415 S OSAGE ST |
| City | CALDWELL |
| State | KS |
| Zip Code | 67022-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376063321 | Molly Kay Partee | Nurse Practitioner | 415 S Osage St, Caldwell, KS 67022-1650 | 2017-06-21 |
| 1942201397 | Integris Bass Baptist Health Center | Family Medicine | 415 S Osage St, Caldwell, KS 67022-1650 | 2005-08-09 |
| 1508866021 | Rita J White | Nurse Practitioner | 415 S Osage St, Caldwell, KS 67022-1650 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548363500 | Goodrick Home Care | Assisted Living Facility | 510 N Osage St, Caldwell, KS 67022-1138 | 2006-09-06 |
| 1114250073 | Usd 360 Caldwell Schools | Local Education Agency (LEA) | 22 N Webb St, Caldwell, KS 67022-1458 | 2009-09-10 |
| 1427567130 | Caldwell Pharmacy Inc | Pharmacy | 7 N Main St, Caldwell, KS 67022-1529 | 2017-09-26 |
| 1992873798 | Caldwell Compounding Pharmacy Inc | Pharmacy | 7 N Main St, Caldwell, KS 67022-1529 | 2006-12-01 |
| 1487882700 | Amy R Walker | Dentist | 3 S Main St, Caldwell, KS 67022-1531 | 2009-06-25 |
| 1811158868 | Harold Andrew Small | Dentist | 3 S Main St, Caldwell, KS 67022-1531 | 2008-06-23 |
| 1235111667 | Harold A Small Dds Pa | Dentist | 3 S Main St, Caldwell, KS 67022-1531 | 2005-11-21 |
| 1689707275 | Sumner County Hospital District No 1 | General Acute Care Hospital | 601 S Osage St, Caldwell, KS 67022-1654 | 2007-03-13 |
| 1316094501 | Sumner County Hospital District No | Home Health | 415 S Osage St., Caldwell, KS 67022-1654 | 2007-01-03 |
| 1922101286 | Mary Elizabeth Petrik | Dietitian, Registered | 601 S Osage, Caldwell, KS 67022-1654 | 2006-09-05 |
| Find all providers in zip 67022 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902143126 | Idaho Behavioral Health, Inc. | Family Medicine | 524 S 9th Ave, #101, Caldwell, ID 83605-5075 | 2013-01-08 |
| 1104089556 | J'cinda J'nae Bitters | Family Medicine | 211 E Logan St Ste 301, Caldwell, ID 83605-4882 | 2008-07-07 |
| 1467631598 | Del B. Stigler M.d. | Family Medicine | 302 Highway 21 West, Caldwell, TX 77836-0000 | 2007-10-25 |
| 1679648836 | Del Barker Stigler | Family Medicine | 302 W Highway 21, Caldwell, TX 77836-1122 | 2006-11-22 |
| 1346252855 | Robert A Spencer | Family Medicine | 304 Main Street, Caldwell Clinic, Caldwell, OH 43724-1396 | 2006-08-13 |
| 1396760385 | Travis Lee Page | Family Medicine | 2523 S 10th Ave Ste 103, Caldwell, ID 83605-6760 | 2006-07-12 |
| 1013945070 | John Scott Chennault | Family Medicine | 1010 Woodson Dr, Caldwell, TX 77836-1000 | 2006-06-29 |
| 1720022239 | Patrick D Stowell | Family Medicine | 512 N 21st Ave, Caldwell, ID 83605-4368 | 2006-06-15 |
| 1306880844 | John R Pearce | Family Medicine | 1825 S Kimball Ave, Caldwell, ID 83605-4828 | 2006-06-15 |
| 1891740643 | Premier Family Medical, PC | Family Medicine | 110 Bloomfield Ave, Caldwell, NJ 07006-5336 | 2006-05-23 |
| Find all providers in CALDWELL | ||||
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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.