Individual provider Active NPI

William Scott Blanchard, MD

  • General Practice Physician
  • Pensacola, FL
National Provider Identifier
1386101376
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1228 Issued in FL
Practice address
4600 Mobile Hwy # 10
Pensacola, FL 32506-3508
Phone
(850) 972-9890
Fax
(844) 388-6186
NPI assigned
Feb 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1228 FL Primary

Addresses

Primary practice location

4600 Mobile Hwy # 10
Pensacola, FL 32506-3508

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (727) 322-3439

Other identifiers 1

IdentifierTypeStateIssuer
14829IOtherPRGENERAL MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191016003621 PR Practitioner - General Practice 7618208935 Reassigns benefits to 1 organization
I20200224000371 FL Practitioner - General Practice 7618208935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

13940 N US Hwy 441
Suite 102
Lady Lake, FL 32159-8909
Phone (352) 751-9900

4600 Mobile Hwy
Suite 10
Pensacola, FL 32506-3508
Phone (850) 407-4997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN1228FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Community Health Services, PSC General Practice CurrentSince Sep 2, 2019 Accepting new patients
Florida Medical Associates LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

4600 Mobile Hwy
#10
Pensacola, FL 32506
Phone (850) 407-4997

4469 Mobile Hwy
Ste B
Pensacola, FL 32506
Phone (850) 455-0120

4600 Mobile Hwy
Ste 10
Pensacola, FL 32506

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

26 Calle General Duverge
Hormigueros, PR 00660
Phone (787) 849-3055

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.

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1386101376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "727-322-3439",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MOBILE HWY # 10",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063508",
            "telephone_number": "850-972-9890",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-26",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL MEDICINE",
            "identifier": "14829I",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.