Active NPI
John A Blanchard, MD
- Family Medicine Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- JB067853
- Practice address
- 1627 W Big Beaver Rd
Troy, MI 48084-3501 - Phone
- (248) 220-1560
- Fax
- (248) 220-1563
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | JB067853 | MI | Primary |
Addresses
Primary practice location
1627 W Big Beaver Rd
Troy, MI 48084-3501
Mailing address
6483 Citation Dr Ste B
Clarkston, MI 48346-2994
Phone (248) 861-0010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2004 through Jul 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLaren Central Michigan
Practice addresses (Care Compare)
560 W Mitchell St
Suite C70
Petoskey, MI 49770-2275
Phone (231) 487-7200
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Grosse Pointe
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JB067853 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salta, PLLC | Family Medicine | Current | Accepting new patients |
| Salta of Clarkston, PLLC | Family Medicine | Current | Accepting new patients |
| Urological Surgeons, PC | Past | Accepting new patients |
Locations
6483 Citation Dr
Ste B
Clarkston, MI 48346
Phone (248) 861-0010
585 South Blvd E
Ste 100
Pontiac, MI 48341
Phone (248) 206-1200
1627 W Big Beaver Rd
Troy, MI 48084
Phone (248) 220-1560
Interoperability endpoints
- john.blanchard.1@29818.direct.athenahealth.com
- jblanchard362765@direct.hfhs.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Clarkston, MI
- NPI 1336785005
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1588112387
-
- Urology Physician
- Sterling Heights, MI
- NPI 1003907213
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1083613871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6483 CITATION DR STE B",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483462994",
"telephone_number": "248-861-0010",
"fax_number": "248-861-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 W BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480843501",
"telephone_number": "248-220-1560",
"fax_number": "248-220-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "JB067853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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; Opt Out Affidavits.
- 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.