ROYCE BLACKWOOD PA-C NPI 1992286546

NPI Information

NPI: 1992286546
Provider Name: ROYCE BLACKWOOD, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
360 BROADWAY
BANGOR, ME
ZIP 04401
Phone: (207) 907-3650
Get Directions

Royce Blackwood, PA-C is a surgical physician assistant in Bangor, ME with 6 years of experience. Royce Blackwood, PA-C NPI is 1992286546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

360 BROADWAY
BANGOR, ME
ZIP 04401-979
Phone: (207) 907-3650
Fax: (207) 907-3660

The NPI 1992286546 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2018 and was last updated on 2/3/2022.

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
1	363AS0400X	Physician Assistant	Surgical		MAINE	No
2	363AS0400X	Physician Assistant	Surgical	PA1855	MAINE	Yes

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: 4/28/2024

NPI Synchronization or Removal

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