=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891869277
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONALD FRANCIS BLANFORD M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/20/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3700 KOLBE RD
-----------------------------------------------------
City | LORAIN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44053-1611
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-960-3187
-----------------------------------------------------
Fax | 440-969-4630
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 701 LEE CT
-----------------------------------------------------
City | VERMILION
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44089-2506
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-967-8360
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | 35.038781
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------