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NPI Code Detail

MEDICARE: NATHAN BLANTON D.P.M.

MEDICARE: NATHAN BLANTON D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist36.003923OH
2213E00000XPodiatrist36.003894OH
3213ES0103XFoot & Ankle Surgery Podiatrist36.003923OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760836506
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN BLANTON D.P.M.
Provider Business Mailing Address
First Line : 4357 FERGUSON DR
Second Line : SUITE 150
City : CINCINNATI
State : OH
Zip : 45245-1760
Country : US
Telephone Number : 513-474-4450
Fax Number :
Provider Business Practice Location Address
First Line : 4357 FERGUSON DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1760
Country : US
Telephone Number : 513-474-4450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2016
Last Update Date : 06/20/2023

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Directions to “ NATHAN BLANTON D.P.M.” Practice Location

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