DR. D.O. Jill Marie Blandford, NPI 1164650123
Neurology Physician in Charleston, SC, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1164650123 |
| NPI Entity Type | Individual |
| Provider Name | DR. D.O. Jill Marie Blandford |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 2095 Henry Tecklenburg Dr, Charleston, SC, US |
| Provider Mailing Address | Po Box 751649, Charlotte, NC, US, 282751649 |
| Gender | Female |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Neurology Physician |
| Classification | |
| Group | |
| License No. | 1270 |
| License State | SC |
| Description | A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 03684 | KY | No | |||
| 03684 | KY | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 170948 | KY | SIHO - NNS | 01 |
| 201392140 | IN | MEDICAID | 05 |
| 000001036470 | KY | ANTHEM - NNS | 01 |
| 50114236 | KY | PASSPORT - NNS | 01 |
| 7100321110 | KY | MEDICAID | 05 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | No | 3991 Dutchmans Lane, Suite 310, Louisville, KY, US | |||
| FHIR | https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/ | No | 3991 Dutchmans Lane, Suite 310, Louisville, KY, US |
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| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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OTR/L Sarah Bagley Individual |
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AGACNP Kaitlin O'sullivan Individual |
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D.O Mohamed Mohamed Kelli Individual |
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ARNP Pamela Suzanne Harmon Individual |
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Lawanna S Carson Individual |
4005a Pebblebrook Ct |
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MS. BCBA, COBA Brittany Leigh Fyffe Individual |
143 Norwood Dr |
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PHARMD Taylor Lynn Brown Individual |
1676 N Highway 17 |
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Katherine Elizabeth Leighton Individual |
320 Midland Pkwy Ste C |
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