Patricia Mercedes Blanco, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102713 Issued in FL

Practice address

5913 Webb Road
Tampa, FL 33615-5000

Phone

(813) 875-8567

Fax

(813) 875-0188

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Encompass Healthcare Group, Inc.

  • Customized Equipment (DME)
  • Madeira Beach, FL
  • NPI 1235365404
  NPD (past)
• National Bladder Institute, Inc

  • Obstetrics & Gynecology Physician
  • Madeira Beach, FL
  • NPI 1962732107
  NPD (past)
• Webmed Network LLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1598315251
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1023047362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 WEBB ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155000",
            "telephone_number": "813-875-8567",
            "fax_number": "813-875-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 WEBB ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155000",
            "telephone_number": "813-875-8567",
            "fax_number": "813-875-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "PATRICIA",
        "middle_name": "MERCEDES",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102713",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenzo Alejandro Blanco Valdes
• Anapaula Blanco
• Carolyn Michelle Blanco
• Iyaima B Blanco
• Michelle Antoinette Blanco, M.D.
• Rafael William Blanco, M. D.
• Rody Blanco
• Yiara S. Blanco, PSY.D.
• Lee Bland, DPT
• Karen R Blanden, L.M.H.C.

• Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.