Blaine Phillip Carmichael, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00009 Issued in TX

Practice address

408 Navarro St
San Antonio, TX 78205-2502

Phone

(210) 272-1741

Fax

(210) 272-1747

NPI assigned

Oct 14, 2005

Last updated

May 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sona LLC of TexasGroup PAC ID 3870618622, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Sona LLC of Texas

  dba Quality Urgent Care of America

  • Urgent Care Clinic/Center
  • Schertz, TX
  • NPI 1598087207
  Medicare reassignment Care Compare group
• Alamo City Medical Group, PLLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1558354092
  NPD (past)
• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1386633121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 CENTRAL PARKWAY NORTH",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325024",
            "telephone_number": "210-541-4500",
            "fax_number": "210-541-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NAVARRO ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052502",
            "telephone_number": "210-272-1741",
            "fax_number": "210-272-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "BLAINE",
        "middle_name": "PHILLIP",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Carmack, LVN
• Falisha Carman, RN
• Judith M Carman, RN
• Carmen B Duron (Angeleve Ambulance and Transportation)
• Carmen D Cirstea MD PA
• Christine Carmichael, PH.D.
• Jennie Carmona Garcia, MS CCC-SLP
• Alyssa Carmona, HHC
• Belinda Elizabeth Carmona
• Brenda Carmona

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.