RICHARD THOMAS BLASZAK MD NPI 1114017779

NPI Information

  • NPI: 1114017779
  • Provider Name: RICHARD THOMAS BLASZAK, MD
  • Classification: Pediatrics - 2080P0210X
  • Specialization: Pediatric Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 CHILDRENS WAY # 512
    LITTLE ROCK, AR
    ZIP 72202
  • Phone: (501) 364-1847

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NPI Details

Richard Thomas Blaszak, MD is a pediatric nephrology pediatrics in Little Rock, AR. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Richard Thomas Blaszak, MD NPI is 1114017779. 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:

1 CHILDRENS WAY # 512
LITTLE ROCK, AR
ZIP 72202-500
Phone: (501) 364-1847
Fax: (501) 364-1870

The NPI 1114017779 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 10/13/2006 and was last updated on 3/16/2016.

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
12080P0210XPediatricsPediatric NephrologyE-2089ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G88389MEDICARE UPIN
2136438001MEDICAIDARKANSAS
35L116MEDICARE PIN

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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