Individual provider Active NPI

Suzanne H. Blasko, M.D.

  • Family Medicine Physician
  • Ligonier, PA
National Provider Identifier
1548215890
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD054306L Issued in PA
Practice address
117 W Wellington Aly
Ligonier, PA 15658-6201
Phone
(724) 238-6668
Fax
(724) 238-6080
NPI assigned
May 24, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 MD054306L PA Primary

Addresses

Primary practice location

117 W Wellington Aly
Ligonier, PA 15658-6201

Mailing address

117 W Wellington Aly
Ligonier, PA 15658-6201
Phone (724) 238-6668

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzanneblasko@emg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000445 PA Practitioner - Family Practice 1254232572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Excela Health Dr
301 Excela Square Latrobe Family Medicine
Latrobe, PA 15650-9001
Phone (724) 537-1480

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD054306LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients
Medical Associates of Boswell Family Medicine Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

100 Excela Health Dr
Ste 301
Latrobe, PA 15650
Phone (724) 537-1480

117 W Wellington Aly
Ligonier, PA 15658
Phone (724) 238-6668

Interoperability endpoints

  • Direct secure messaging: suzanneblasko@emg.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1548215890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W WELLINGTON ALY",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156586201",
            "telephone_number": "724-238-6668",
            "fax_number": "724-238-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W WELLINGTON ALY",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156586201",
            "telephone_number": "724-238-6668",
            "fax_number": "724-238-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASKO",
        "first_name": "SUZANNE",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD054306L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanneblasko@emg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "117 W Wellington Aly",
            "city": "Ligonier",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156586201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ligonier, PA

Sources for this page

Verify at the official NPI Registry.