SHIRLEY BLANCAS M.D. NPI 1942287628

NPI Information

NPI: 1942287628
Provider Name: SHIRLEY BLANCAS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
3950 S COUNTRY CLUB RD STE 130
TUCSON, AZ
ZIP 85714
Phone: (520) 874-4800
Get Directions

Shirley Blancas, M.D. is a family medicine in Tucson, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Shirley Blancas, M.D. NPI is 1942287628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3950 S COUNTRY CLUB RD STE 130
TUCSON, AZ
ZIP 85714-099
Phone: (520) 874-4800
Fax: (520) 874-4801

The enumeration date for this NPI number is 12/23/2005 and was last updated on 12/19/2012.

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	207Q00000X	Family Medicine		45683-020	WISCONSIN	No
2	207Q00000X	Family Medicine		42772	ARIZONA	Yes

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
1	34469900	MEDICAID	WISCONSIN
2	I03405	MEDICARE UPIN	WISCONSIN

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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