Dr Johnny J Di Blasi DO PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

75206 Issued in GA

Legal business name

DR JOHNNY J DI BLASI DO PC

Practice address

3 Washington Ave
Gainesville, GA 30501-4135

Phone

(904) 482-9673

NPI assigned

Mar 17, 2016

Last updated

Mar 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Johnny J Di Blasi, D.O.NPI 1386058469

Title

Owner

Phone

(904) 482-9673

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johnny James Di Blasi, D.O.

  • Family Medicine Physician
  • Batavia, NY
  • NPI 1386058469
  NPD (past) Authorized official

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1013378165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON AVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014135",
            "telephone_number": "904-482-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON AVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014135",
            "telephone_number": "904-482-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHNNY J DI BLASI DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "DI BLASI",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-482-9673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "75206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.