Patricia Diane Blasick, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1390 Issued in TN

Practice address

1508 Tombras Ave
East Ridge, TN 37412-2720

Phone

(423) 867-4969

Fax

(423) 867-4971

NPI assigned

Jul 30, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henderson County Community Hospital Hospital, Lexington, TN, CCN 440008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865

  TN

  Medicare reassignment Care Compare group NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  Care Compare group NPD
• Chattanooga Diagnostic Associates LLC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1679772099

  TN

  Medicare reassignment
• Your Good Health, LLC

  • Primary Care Clinic/Center
  • East Ridge, TN
  • NPI 1386864296

  TN

  Medicare reassignment
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  TN

  Medicare reassignment
• Fast Pace Medical Clinic PLLC

  • Urgent Care Clinic/Center
  • Lincoln, AL
  • NPI 1023773322
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Jackson, AL
  • NPI 1033890132
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Lincoln, AL
  • NPI 1043975345
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Sylacauga, AL
  • NPI 1043975402
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Clanton, AL
  • NPI 1215761341
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Enterprise, AL
  • NPI 1265114094
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Centerville, AL
  • NPI 1336804772
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lexington Hospital Corporation

  • General Acute Care Hospital
  • Lexington, TN
  • NPI 1255302923

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1003072059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 TOMBRAS AVE",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374122720",
            "telephone_number": "423-867-4969",
            "fax_number": "423-867-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 TOMBRAS AVE",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374122720",
            "telephone_number": "423-867-4969",
            "fax_number": "423-867-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASICK",
        "first_name": "PATRICIA",
        "middle_name": "DIANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back and Forth Transportation
• Gary H Ballard, NP
• Madison Christine Bankston, PT
• Ray Gene Belanger, ATC
• Benchmark Healthcare Services LLC
• Judith J Boggess, M.D.
• Mark W Bookout, M.D.
• Jessica Briscoe
• David Grant Brogdon, D.C.
• Alex Bryant

• All providers in East Ridge, TN
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.