Individual provider Active NPI

Allison Christine Blaksmith, PA-C

  • Physician Assistant
  • Owosso, MI
National Provider Identifier
1093901878
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1080009 Issued in MI
Practice address
113 E Williams St
Owosso, MI 48867-2360
Phone
(989) 725-6101
Fax
(989) 723-3601
NPI assigned
Sep 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1080009 MI Primary

Addresses

Primary practice location

113 E Williams St
Owosso, MI 48867-2360

Mailing address

113 E Williams St
Owosso, MI 48867-2360
Phone (989) 725-6101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20071108000106 MI Practitioner - Physician Assistant 0547204851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1414 W Fair Ave
Marquette, MI 49855-5406
Phone (906) 225-1321

580 W College Ave
Marquette, MI 49855-2736
Phone (906) 228-9440

850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1080009MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Associates of Marquette PC CurrentSince Jan 1, 2013 Accepting new patients
Mid-Michigan Orthopaedics Physician Assistant Past Accepting new patients

Locations

1414 W Fair Ave
Ste 190
Marquette, MI 49855
Phone (906) 225-1321

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1093901878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E WILLIAMS ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672360",
            "telephone_number": "989-725-6101",
            "fax_number": "989-723-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E WILLIAMS ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672360",
            "telephone_number": "989-725-6101",
            "fax_number": "989-723-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKSMITH",
        "first_name": "ALLISON",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "1080009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.