Active NPI
Johnny Bliznak, M.D.
- Diagnostic Radiology Physician
- Abilene, TX
National Provider Identifier
1124009568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D4467
- Practice address
- 401 Cypress St
# 110
Abilene, TX 79601-5122 - Phone
- (325) 677-2201
- Fax
- (325) 677-7641
- NPI assigned
- Nov 11, 2005
- Last updated
- Mar 5, 2008
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D4467 | TX | Primary |
Addresses
Primary practice location
401 Cypress St
# 110
Abilene, TX 79601-5122
Mailing address
PO Box 2898
Abilene, TX 79604-2898
Phone (325) 677-2201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Radiology Associates of Abilene PA | Diagnostic Radiology | Past | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Benchmark Radiology
- Diagnostic Radiology Physician
- Abilene, TX
- NPI 1396737961
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1124009568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2898",
"city": "ABILENE",
"state": "TX",
"postal_code": "796042898",
"telephone_number": "325-677-2201",
"fax_number": "325-677-7641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CYPRESS ST",
"address_2": "# 110",
"city": "ABILENE",
"state": "TX",
"postal_code": "796015122",
"telephone_number": "325-677-2201",
"fax_number": "325-677-7641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLIZNAK",
"first_name": "JOHNNY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "D4467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.