Individual
DAVID V. BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5956
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5225
(740) 446-5956
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19669
WV
208600000X
Surgery Physician
Primary
35-06-7347
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007555
ANTHEM BCBS
—
01
—
000000181652
UNISON MEDICAID
OH
01
—
001714103
MOUNTAIN STATE BCBS
—
05
—
0127075000
—
WV
01
—
020038338
RR MEDICARE
—
01
—
2057509
MOLINA MEDICAID
OH
05
—
2057509
—
OH
01
—
310917085092
CARESOURCE MEDICAID
OH
Enumeration date
05/20/2006
Last updated
11/25/2020
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