Jorge D Blanco, M.D.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

F3413 Issued in TX

Practice address

420 E 6TH St Ste 202
Odessa, TX 79761-4572

Phone

(432) 582-8757

Fax

(432) 582-8928

NPI assigned

Jun 12, 2006

Last updated

Jan 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Texas Maternal Fetal Medicine Center, LLC

  • Maternal & Fetal Medicine Physician
  • Odessa, TX
  • NPI 1730519331
  NPD (past) Authorized official
• West Texas OBGYN

  • Obstetrics & Gynecology Physician
  • Odessa, TX
  • NPI 1043805625
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1083656938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4123",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797604123",
            "telephone_number": "432-582-2277",
            "fax_number": "432-333-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 6TH ST STE 202",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614572",
            "telephone_number": "432-582-8757",
            "fax_number": "432-582-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "JORGE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "F3413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112711004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emanuel Bippus, PHARMD
• Joshua Aaron Bishop, P.T.
• Jan Lee Bivins, MASSAGE THERAPIST
• Jessica Fields Bizzell
• Allie Christine Black, PA-C
• Bliss Dental PLLC (Bliss Dental and Orthodontics)
• Blue Hearts Home Health Agency
• Caitlin Ariel Boal, ATC, LAT
• Bobby Mal Hollander, D.C. P.C. (Hollander Chiropractic Clinic)
• Fernando Boccalandro, M.D.

• Maternal & Fetal Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Maternal & Fetal Medicine Physician in Texas

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