Blake Leigh Hart, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA056491 Issued in PA

Practice address

575 Coal Valley Rd Ste 300
Clairton, PA 15025-3770

Phone

(412) 267-6600

Fax

(412) 267-6281

NPI assigned

Sep 15, 2013

Last updated

Aug 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Blake L Kicinski Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: bkicinski71752@direct.ahn.org

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

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1144656794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 300",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253770",
            "telephone_number": "412-267-6600",
            "fax_number": "412-267-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 300",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253770",
            "telephone_number": "412-267-6600",
            "fax_number": "412-267-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "BLAKE",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-15",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkicinski71752@direct.ahn.org",
            "affiliation": "N",
            "address_1": "575 Coal Valley Rd Ste 300",
            "city": "Clairton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150253770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BLAKE",
            "last_name": "KICINSKI",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George J Grisnik, O.D.
• Guillermo Borrero MD & Associates, PC
• Guillermo Borrero, M.D. & Associates, PC
• John Hackel
• Peter Hallisey, PHARMD
• Jennifer Michelle Hartman, PA-C
• Hematology Oncology Association
• Lori A. Henkel, PA-C
• James B Henson, P.T.
• Sarah Christina Huber, PHYSICIAN ASSISTANT

• Physician Assistant in Clairton, PA
• Providers in Clairton, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.