DR. JERRY EDWARD BLYTHE MD
NPI 1558551382
Family Medicine - Sports Medicine in Indianapolis, IN

NPI Status: Active since July 27, 2007

Contact Information

8045 BROADWAY ST
INDIANAPOLIS, IN
ZIP 46240
Phone: (317) 251-4488
Fax: (317) 251-9910

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  • Individual
  • Male
  • Family Medicine
  • Sports Medicine

About JERRY BLYTHE

This page provides the complete NPI Profile along with additional information for Jerry Blythe, a primary care provider established in Indianapolis, Indiana with a medical specialization in Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1558551382 assigned on July 2007. The practitioner's primary taxonomy code is 207QS0010X with license number 01024432A (IN). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI
1558551382
Provider Name
DR. JERRY EDWARD BLYTHE MD
Gender
Male
Entity Type
Individual
Location Address
8045 BROADWAY ST INDIANAPOLIS, IN 46240
Location Phone
(317) 251-4488
Location Fax
(317) 251-9910
Mailing Address
8045 BROADWAY ST INDIANAPOLIS, IN 46240
Mailing Phone
(317) 251-4488
Mailing Fax
(317) 251-9910
Is Sole Proprietor?
Yes
Enumeration Date
07-27-2007
Last Update Date
06-29-2025
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A primary care provider (PCP) like Jerry Blythe sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
License No.
01024432A
License State
IN
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558551382
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251081052316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 1 + 0 + 5 + 2 + 3 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1558551382 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558551382, enumerated as an "individual" on July 27, 2007.

The provider is located at 8045 BROADWAY ST INDIANAPOLIS, IN 46240 and the phone number is (317) 251-4488.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.