Larry L Blankenship Jr. (NPI# 1407947807, PAC ID# 9537139571) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1407947807 |
| PAC ID by PECOS | 9537139571 |
| Professional Enrollment ID | I20100909000631 |
| Full Name | Larry L Blankenship Jr. |
| Organization Legal Name | JOSEPHSON-WALLACK-MUNSHOWER NEUROLOGY PC |
| Address |
2101 Jackson St Suite 106 Anderson IN 46016-4386 |
| Phone Number | 7652984545 |
| Gender | M |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 6709868870 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150113 | COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY |
| 150088 | ST. VINCENT ANDERSON REGIONAL HOSPITAL |
| 150059 | RIVERVIEW HEALTH |
| 150089 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL |
| 150030 | HENRY COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2101 Jackson St, Suite 106, Anderson, IN 46016-4386 | 7652984545 | JOSEPHSON-WALLACK-MUNSHOWER NEUROLOGY PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | JOSEPHSON-WALLACK-MUNSHOWER NEUROLOGY PC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ma Czarina S Castillo | Nurse Practitioner | Josephson-wallack-munshower Neurology PC | 1400 N Ritter Ave, Suite 220, Indianapolis, IN 46219-3046 |
| Keith W Cushing | Neurology | Josephson-wallack-munshower Neurology PC | 1159 W Jefferson St, Suite 206, Franklin, IN 46131-2795 |
| Jennifer L Irwin | Physician Assistant | Josephson-wallack-munshower Neurology PC | 7250 Clearvista Dr, Suite 225, Indianapolis, IN 46256-5626 |
| Keith Ridel | Neurology | Josephson-wallack-munshower Neurology PC | 8051 S Emerson Ave, Suite 350, Indianapolis, IN 46237-8634 |
| Tiffany A Thacker | Nurse Practitioner | Josephson-wallack-munshower Neurology PC | 7250 Clearvista Dr, Suite 225, Indianapolis, IN 46256-5626 |
| Jenile J Abell | Nurse Practitioner | Josephson-wallack-munshower Neurology PC | 1210 Medical Arts Blvd, Suite 114, Anderson, IN 46011-3442 |
| Emily M Grubb | Nurse Practitioner | Josephson-wallack-munshower Neurology PC | 7250 Clearvista Dr, Suite 225, Indianapolis, IN 46256-5626 |
| Cynthia K Mcgarvey | Neurology | Josephson-wallack-munshower Neurology PC | 12188 A N Meridian St, Suite 320, Carmel, IN 46032-4407 |
| Ganesh T Ghooray | Neurology | Josephson-wallack-munshower Neurology PC | 1159 W Jefferson St, Suite 206, Franklin, IN 46131-2795 |
| Aruna N Rau | Neurology | Josephson-wallack-munshower Neurology PC | 7250 Clearvista Dr, Suite 225, Indianapolis, IN 46256-5626 |
| Street Address |
2101 JACKSON ST SUITE 106 |
| City | ANDERSON |
| State | IN |
| Zip | 46016-4386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Bright | Critical Care (intensivists) | Medical Specialists of Madison County PC | 2101 Jackson St, Suite 110, Anderson, IN 46016-4386 |
| William J Kopp | Family Medicine | 2101 Jackson St, Suite 208, Anderson, IN 46016-4387 | |
| Minati D Swofford | Dermatology | Mina Swofford, M.d. P.c | 2101 Jackson St, Suite 205, Anderson, IN 46016-4387 |
| Rebecca L Bushong | Dermatology | Mina Swofford, M.d. P.c | 2101 Jackson St, Suite 205, Anderson, IN 46016-4387 |
| Aparna Narayana Kurup | Internal Medicine | St Vincent Medical Group Inc | 2101 Jackson St, Suite 206, Anderson, IN 46016-4388 |
| Mark Alexander Stinson | Physician Assistant | St Vincent Medical Group Inc | 2101 Jackson St, Suite 206, Anderson, IN 46016-4388 |
| Rachel D Robinson | Internal Medicine | Renal Associates of Central Indiana Professional Corporation | 2101 Jackson St, Suite 6, Anderson, IN 46016-4341 |
| Lindsay Ellen Johnson | Nurse Practitioner | St Vincent Medical Group Inc | 2101 Jackson St, Suite 206, Anderson, IN 46016-4388 |
| Joshua Ben Greene | Otolaryngology | St Vincent Medical Group Inc | 2101 Jackson St, Suite 115, Anderson, IN 46016-4355 |
| Heidi Beth Seaborn | Nurse Practitioner | St Vincent Medical Group Inc | 2101 Jackson St, Suite 206, Anderson, IN 46016-4388 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy L Shannon | Nurse Practitioner | 720 W 8th St, Anderson, IN 46016-1206 | |
| Roxanne D Brunsman | Clinical Social Worker | 405 W 8th St, Suite 2, Anderson, IN 46016-1311 | |
| Jean Manis | Clinical Social Worker | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
| Rachel J Ramsey | Clinical Social Worker | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
| Thomas E Murray | Clinical Psychologist | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
| Phyllis Marilyn Olson | Clinical Psychologist | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
| Donald L Allbaugh | Clinical Social Worker | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
| Arlus J Whitfield | Chiropractic | Family Chiropractic Group, Inc., P.C. | 311 Jackson St, Anderson, IN 46016-1558 |
| David B Tarr | Psychologist, Clinical | Jane Pauley Community Health Center Inc | 1229 Lincoln St, Anderson, IN 46016-1693 |
| Kary Morford | Nurse Practitioner | Jane Pauley Community Health Center Inc | 1229 Lincoln St, Anderson, IN 46016-1693 |
| Find all physicians in zip 46016 | |||
| City | ANDERSON |
| Zip Code | 46016 |
| Specialty | NEUROLOGY |
| City + Specialty | ANDERSON + NEUROLOGY |
Please comment or provide details below to improve the information on Larry L Blankenship Jr..
| 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.