Individual provider Active NPI

James G Blanco, PA-C

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1235353269
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA3195 Issued in FL
Practice address
6499 38TH Avenue North Suite G1
Pinellas Cancer Center
St. Petersburg, FL 33710-1658
Phone
(727) 381-3761
Fax
(727) 347-9348
NPI assigned
Apr 12, 2007
Last updated
Dec 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA3195 FL Primary

Addresses

Primary practice location

6499 38TH Avenue North Suite G1
Pinellas Cancer Center
St. Petersburg, FL 33710-1658

Mailing address

6499 38TH Avenue North Suite G1
Pinellas Cancer Center
St. Petersburg, FL 33710-1658
Phone (727) 381-3761

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080814000294 FL Practitioner - Physician Assistant 0840365524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Oncology Institute FL, LLCGroup PAC ID 7315999372, 22 clinicians

Practice addresses (Care Compare)

4700 N Habana Ave
Suite 702
Tampa, FL 33614-7122
Phone (813) 757-8497

6499 38TH Ave N
Suite G1
St Petersburg, FL 33710-1658
Phone (727) 381-3761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3195FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: james.blanco@anrinc.direct-geniusdoc.com
  • Direct secure messaging: jblanco189351@orlandohealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1235353269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6499 38TH AVENUE NORTH SUITE G1",
            "address_2": "PINELLAS CANCER CENTER",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337101658",
            "telephone_number": "727-381-3761",
            "fax_number": "727-347-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6499 38TH AVENUE NORTH SUITE G1",
            "address_2": "PINELLAS CANCER CENTER",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337101658",
            "telephone_number": "727-381-3761",
            "fax_number": "727-347-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "JAMES",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PA3195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.