National Provider Identifier
Travis Glenn Blanton, MD
Travis Glenn Blanton, MD is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Buffalo, NY and a listed phone number of (716) 878-7701.
Profile Overview
- NPI
- 1013479856
- Provider Type
- Individual
- Primary Specialty
- Anesthesiology Physician
- Enumeration Date
- April 02, 2019
- Last Updated
- December 18, 2023
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 878-7701
Mailing Address
- 2181 Township Road 188
- Cardington, OH 43315-9353
Specialties
- Anesthesiology Physician (207L00000X)
- Anesthesiology Physician (207L00000X)
- Pain Medicine (Anesthesiology) Physician (207LP2900X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1013479856
- Entity Type
- Individual
- Last Name
- Blanton
- First Name
- Travis
- Middle Name
- Glenn
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 2181 Township Road 188
- Mailing City
- Cardington
- Mailing State
- OH
- Mailing ZIP Code
- 43315-9353
- Mailing Country
- US
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 878-7701
- Enumeration Date
- April 02, 2019
- Last Updated
- December 18, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anesthesiology Physician (207L00000X), Anesthesiology Physician (207L00000X), Pain Medicine (Anesthesiology) Physician (207LP2900X), Student in an Organized Health Care Education/Training Program (390200000X)