Christopher David Blanchet

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006510 Issued in MI

Practice address

994 N Center Ave
Gaylord, MI 49735-9375

Phone

(989) 732-7843

Fax

(989) 731-4513

NPI assigned

Oct 11, 2012

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Donald P. Cousineau DO PC

  • General Practice Physician
  • Gaylord, MI
  • NPI 1386645851
  NPD (past)
• Northern Michigan Substance Abuse Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gaylord, MI
  • NPI 1164641676
  NPD (past)

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1124370325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359375",
            "telephone_number": "989-732-7843",
            "fax_number": "989-731-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359375",
            "telephone_number": "989-732-7843",
            "fax_number": "989-731-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHET",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Janel Beyers, MPT, DPT
• BHG Lxxxiii, LLC
• Janet L Bieri
• Donald F Bills, D.O.
• Mindy Sue Binko, LLMSW
• Jordan Christine Blatt
• Kristine E. Bobish, D.O.
• Alexandria Bowen
• Dirk William Bowman, M.D.
• Diana Marie Boyd, LLPC

• Physician Assistant in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.