Active NPI
Raymond Paul-Blanc, MD, PC
- Urology Physician
- Mansfield, MA
National Provider Identifier
1659438539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- RAYMOND PAUL-BLANC, MD, PC
- Practice address
- 16 Creeden St
#4
Mansfield, MA 02048-1212 - Phone
- (508) 339-3600
- Fax
- (508) 339-3831
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raymond Paul-Blanc, M.D.
- Title
- President
- Phone
- (508) 339-3600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
16 Creeden St
#4
Mansfield, MA 02048-1212
Mailing address
340 Main St
Ste. 670
Worcester, MA 01608-1604
Phone (508) 754-3566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9781901 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16 Creeden St
#4
Mansfield, MA 02048
Phone (508) 339-3600
31 Pine St
Ste 203
Norfolk, MA 02056
Phone (508) 339-3600
Interoperability endpoints
- https://api.platform.athenahealth.com/5022/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Mansfield, MA
- NPI 1831197748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318896000000",
"number": "1659438539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 MAIN ST",
"address_2": "STE. 670",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081604",
"telephone_number": "508-754-3566",
"fax_number": "508-438-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CREEDEN ST",
"address_2": "#4",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481212",
"telephone_number": "508-339-3600",
"fax_number": "508-339-3831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND PAUL-BLANC, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2011-10-18",
"status": "A",
"authorized_official_last_name": "PAUL-BLANC",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-339-3600",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9781901",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.