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James Lee Blank

Physician β€’ Kingsville, OH

Deactivated NPI 1417550179 Deactivated in NPPES Male Practitioner
Practice location in NPPES

5894 State Rd
Kingsville, OH 440489784

Phone: 4403359008

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of January 31, 2022; the reason is not published. The records below are historical. They do not show whether James Blank currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date November 17, 2020
NPI Deactivation Date January 31, 2022
NPI Active Period 2020 – 2022

Practice Location & Contact Primary Location

Practice Address

5894 State Rd

Kingsville, OH 440489784

Telephone 4403359008

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Kingsville and Ohio

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated January 31, 2022

NPPES lists this NPI as deactivated as of January 31, 2022; the reason is not published.

βœ…
NPI Profile Active November 17, 2020

NPI status registered as active in NPPES database

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Practice Location (Initial Record) November 17, 2020

Registered at 5894 STATE RD, KINGSVILLE, OH 440489784 (Tel: 4403359008)

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Business Mailing Address (Initial Record) November 17, 2020

Registered at 5882 STATE RD, KINGSVILLE, OH 440489784 (Tel: 4403819647)

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Provider Name / Credentials (Initial Record) November 17, 2020

Recorded as JAMES BLANK

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2020

Home Health

🟒
Initial NPI Registration & Enumeration November 17, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417550179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2020
Last Update: November 17, 2020
Deactivation Date: January 31, 2022

Mailing Address

5882 State Rd

Kingsville, OH 440489784

Phone: 4403819647

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.