Wyndal K Blankenship (NPI# 1336132570, PAC ID# 7517958960) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1336132570 |
| PAC ID by PECOS | 7517958960 |
| Professional Enrollment ID | I20040524000822 |
| Full Name | Wyndal K Blankenship |
| Address |
120 S John Sims Pkwy Suite A Valparaiso FL 32580-1273 |
| Gender | M |
| Credential | MD |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100054 | TWIN CITIES HOSPITAL |
| 100292 | SACRED HEART HOSPITAL ON THE EMERALD COAST |
| 100223 | FORT WALTON BEACH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2190 Hwy 85 N, Niceville, FL 32578-1045 | 8507299468 | FLAT TOP INPATIENT SERVICES LLC |
| 120 S John Sims Pkwy, Suite A, Valparaiso, FL 32580-1273 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 93% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 93% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 88% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 88% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 27% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 27% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 20% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 20% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Street Address |
120 S JOHN SIMS PKWY SUITE A |
| City | VALPARAISO |
| State | FL |
| Zip | 32580-1273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald B Schak Sr. | Family Medicine | 120 S John Sims Pkwy, Suite C, Valparaiso, FL 32580-1273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette Brabham | Optometry | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | |
| C.s. Peters | Optometry | Annette Brabham Od Pa | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 |
| Thaddaeus Castaneda | Family Medicine | 143 S John Sims Pkwy, Valparaiso, FL 32580-1271 |
| City | VALPARAISO |
| Zip Code | 32580 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | VALPARAISO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Wyndal K Blankenship.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.