Active NPI
John C Blasko, M.D.
- Radiation Oncology Physician
- Seattle, WA
National Provider Identifier
1194748715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD00016098
- Practice address
- 1101 Madison, Suite 1101
C/O Seattle Prostate Institute
Seattle, WA 98104 - Phone
- (206) 215-2480
- Fax
- (206) 215-2481
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD00016098 | WA | Primary |
Addresses
Primary practice location
1101 Madison, Suite 1101
C/O Seattle Prostate Institute
Seattle, WA 98104
Mailing address
PO Box 3972
Seattle, WA 98124-3972
Phone (206) 749-5130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8149080 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00016098 | WA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tirog at Valley PLLC | Radiation Oncology | Past | Accepting new patients |
| Tumor Institute Radiation Oncology Group LLP | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Radiation Oncology Physician
- Renton, WA
- NPI 1568485761
-
- Radiation Oncology Physician
- Seattle, WA
- NPI 1184632572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1194748715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3972",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981243972",
"telephone_number": "206-749-5130",
"fax_number": "206-749-5135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON, SUITE 1101",
"address_2": "C/O SEATTLE PROSTATE INSTITUTE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-215-2480",
"fax_number": "206-215-2481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASKO",
"first_name": "JOHN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD00016098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8149080",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.