Dana Blasko, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA003475 Issued in FL

Practice address

10150 Hagen Ranch Rd Ste 100
Boynton Beach, FL 33437-3776

Phone

(305) 558-3724

Fax

(786) 907-4485

NPI assigned

Dec 14, 2006

Last updated

Sep 18, 2023By 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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Allergy Consultants Inc

  • Specialist
  • Boca Raton, FL
  • NPI 1467579151
  Medicare reassignment
• Schweiger Dermatology Group PA

  dba Schweiger Dermatology Group

  • Dermatology Physician
  • Leesburg, FL
  • NPI 1598843914
  Medicare reassignment
• Otolaryngology Consultants, PA

  • Otolaryngology Physician
  • Boynton Beach, FL
  • NPI 1003865908
  NPD
• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1184786592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724",
            "fax_number": "786-907-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 HAGEN RANCH RD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373776",
            "telephone_number": "305-558-3724",
            "fax_number": "786-907-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASKO",
        "first_name": "DANA",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA003475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA003475",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290633300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Max V Black, MD
• Deandra Dion Blanco
• Diana Dion Blanco
• Ilia M. Blandina, CNM
• Howard Steven Blank, M.D.
• Dana Hailey Blocker, APRN
• Erin Blood, RPH
• Bloom Nutritional Services LLC
• Iaisa Shikema Bloom, APRN
• Bloomingnest Services LLC

• Physician Assistant in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.