TABULA RASA PLLC NPI 1730628025

NPI Information

  • NPI: 1730628025
  • Provider Name: TABULA RASA, PLLC
  • Classification: Exclusive Provider Organization - 302F00000X
  • Entity Type: Organization
  • Address: 1296 ROBERT C. BYRD DR
    CRAB ORCHARD, WV
    ZIP 25827
  • Phone: (681) 238-5957

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NPI Details

TABULA RASA, PLLC is an exclusive provider organization in Crab Orchard, WV. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. TABULA RASA, PLLC NPI is 1730628025. The provider is registered as an organization entity type.

The provider's business location address is:

1296 ROBERT C. BYRD DR
CRAB ORCHARD, WV
ZIP 25827
Phone: (681) 238-5957
Fax: (681) 238-5958

The provider's authorized official is Kevin Blankenship .
The authorized official title is Director and has the following contact phone number (681) 238-5957.

The enumeration date for this NPI number is 2/20/2017 and was last updated on 2/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302F00000XExclusive Provider OrganizationAP00943133WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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