Active NPI
Jesse Blaire, PMD
- Paramedic
- Ocala, FL
National Provider Identifier
1134814023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- PMD200769
- Practice address
- 505 NW Martin Luther King Jr Ave
Ocala, FL 34475-5810 - Phone
- (352) 239-5585
- Fax
- (352) 629-8507
- NPI assigned
- Apr 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | EMT84124 | FL | |
| Paramedic | 146L00000X | PMD200769 | FL | Primary |
Addresses
Primary practice location
505 NW Martin Luther King Jr Ave
Ocala, FL 34475-5810
Mailing address
505 NW Martin Luther King Jr Ave
Ocala, FL 34475-5810
Phone (352) 239-5585
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PMD200769 | FL | MD | Paramedic |
| EMT84124 | FL | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1134814023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 NW MARTIN LUTHER KING JR AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344755810",
"telephone_number": "352-239-5585",
"fax_number": "352-629-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 NW MARTIN LUTHER KING JR AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344755810",
"telephone_number": "352-239-5585",
"fax_number": "352-629-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIRE",
"first_name": "JESSE",
"credential": "PMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-07",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "FL",
"license": "EMT84124",
"primary": false
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "FL",
"license": "PMD200769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.