Dr. Jerry B Blankenship , MD
Urology • Enid, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Blankenship has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jerry Blankenship, MD was a registered Urology practicing in Enid, OK. Throughout an active medical career spanning 12 years, Dr. Blankenship provided care at the practice location at 1220 W WILLOW RD until profile deactivation on 2025-07-31.
Practice Location & Contact Primary Location
1220 W Willow Rd
Ste A
Enid, OK 737032511
Specialty Benchmarks & Practice Insights
Comparative analytics for Urology in Enid, OK
Practicing in Enid, OK (179 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Optometrist
Doctor of Optometry
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 31, 2025
NPI status registered as active in NPPES database
Registered at 1220 W WILLOW RD, STE A, ENID, OK 737032511 (Tel: 5802346200)
Registered at 4401 W MEMORIAL RD, 140, OKLAHOMA CITY, OK 731341785 (Tel: 4057523162)
Recorded as JERRY BLANKENSHIP, MD
Urology (License #7940 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4401 W Memorial Rd, 140
Oklahoma City, OK 731341785
Phone: 4057523162
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