Provider Demographics
NPI:1922035971
Name:BLATCHFORD, JAMES W (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:BLATCHFORD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6005 PARK AVE
Mailing Address - Street 2:SUITE 802
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5202
Mailing Address - Country:US
Mailing Address - Phone:901-236-0508
Mailing Address - Fax:901-682-2143
Practice Address - Street 1:6005 PARK AVE
Practice Address - Street 2:SUITE 802
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5202
Practice Address - Country:US
Practice Address - Phone:901-236-0508
Practice Address - Fax:901-682-2143
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2012-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN48039208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
F86741Medicare UPIN
TN103I333414Medicare PIN