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ROBERT D BLANKEN PA NPI 1134197247


NPI Information

NPI: 1134197247
Provider Name: ROBERT D BLANKEN, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1 SHIRCLIFF WAY
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 308-7300
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Robert D Blanken, PA is a surgical physician assistant in Jacksonville, FL with 21 years of experience. Robert D Blanken, PA NPI is 1134197247. 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 SHIRCLIFF WAY
JACKSONVILLE, FL
ZIP 32204-748
Phone: (904) 308-7300

The NPI 1134197247 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
  • Heart artery bypass to repair one artery (HCPCS:33533)
  • Combined multiple vein and artery heart artery bypasses (HCPCS:33518)
  • Replacement of aortic valve using artificial valve on heart-lung machine, open procedure (HCPCS:33405)

The enumeration date for this NPI number is 3/14/2006 and was last updated on 5/23/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical15-00330KANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1042686MEDICARE ID-TYPE UNSPECIFIEDKANSAS
2100343040BMEDICAIDKANSAS
3R32056MEDICARE UPINKANSAS
4970016674OTHERKANSASRAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.