LISA R BLACKRICK MD NPI 1386846871

NPI Information

  • NPI: 1386846871
  • Provider Name: LISA R BLACKRICK, MD
  • Classification: Orthopaedic Surgery - 207XX0801X
  • Specialization: Orthopaedic Trauma
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3627 UNIVERSITY BLVD S STE 550
    JACKSONVILLE, FL
    ZIP 32216
  • Phone: (904) 379-5986

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NPI Details

Lisa R Blackrick, MD is an orthopaedic trauma orthopaedic surgery in Jacksonville, FL with 21 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. Lisa R Blackrick, MD NPI is 1386846871. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2004

The provider's business location address is:

3627 UNIVERSITY BLVD S STE 550
JACKSONVILLE, FL
ZIP 32216-401
Phone: (904) 379-5986
Fax: (904) 551-0282

The NPI 1386846871 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (HCPCS:27236)

The enumeration date for this NPI number is 6/5/2007 and was last updated on 9/14/2020.

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
1207XX0801XOrthopaedic SurgeryOrthopaedic TraumaME144788FLORIDAYes

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: 3/30/2025

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