NPIMap

Individual provider Active NPI

Gary Paul Blanchard, M.D.

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1104029826
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
231891 Issued in MA
Practice address
123 Summer St
St. Vincent Hospital
Worcester, MA 01608-1216
Phone
(508) 363-5000
NPI assigned
Jun 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 231891 MA Primary

Addresses

Primary practice location

123 Summer St
St. Vincent Hospital
Worcester, MA 01608-1216

Mailing address

9-5 Tuck Farm Rd
Auburn, MA 01501-2455
Phone (508) 407-8068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000470 MA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6002902939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Tufts University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians
Shane Speirs MD II PLLCGroup PAC ID 3971083148, 17 clinicians

Practice addresses (Care Compare)

1 Eaton PL
Worcester, MA 01608-1232

102 Shore Dr
Suite 403
Worcester, MA 01605-3154
Phone (480) 725-2614

123 Summer St
Worcester, MA 01608-1216

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients

Locations

260 Cochituate Rd
Ste 101
Framingham, MA 01701
Phone (508) 628-9660

1 Eaton Pl
Ste 1BB
Worcester, MA 01608
Phone (508) 363-7591

102 Shore Dr
Ste 403
Worcester, MA 01605
Phone (508) 852-5230

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

123 Summer St
Ste 535
Worcester, MA 01608
Phone (508) 363-5189

Interoperability endpoints

  • Direct secure messaging: gary.blanchard.1@626.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104029826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9-5 TUCK FARM RD",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012455",
            "telephone_number": "508-407-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "address_2": "ST. VINCENT HOSPITAL",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "GARY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "231891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.