Active NPI
Gregory Blasko, DPM
- Podiatrist
- Poland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-00-2905
- Practice address
- 3262 Center Rd
Poland, OH 44514-2201 - Phone
- (330) 707-1220
- Fax
- (330) 707-1066
- NPI assigned
- Jun 30, 2005
- Last updated
- Feb 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36-00-2905 | OH | Primary |
| Podiatrist | 213E00000X | SC-00-4402 | PA | |
| Podiatrist | 213E00000X | 330 | WV |
Addresses
Primary practice location
3262 Center Rd
Poland, OH 44514-2201
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2052004 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 W Strub Rd
Sandusky, OH 44870-5390
Phone (419) 626-6161
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 59.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 117 |
| Removal of nail tissue | 748 |
| Removal or shaving of skin growth | 95 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330 | WV | MD | Psychologist |
| SC-00-4402 | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Ohio Medical Specialists LLC | Current | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Current | Accepting new patients | |
| Ankle and Foot Care Centers | Podiatrist | Past | Accepting new patients |
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients |
Locations
2120 W State St
Alliance, OH 44601
Phone (330) 823-4455
315 Struthers Liberty Rd
Campbell, OH 44405
Phone (330) 750-1333
16844 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 385-2413
16844 Saint Clair Ave
Ste 2
East Liverpool, OH 43920
Phone (330) 385-2413
136 N Market St
East Palestine, OH 44413
Phone (330) 426-1828
436 Struthers Coitsville Rd
Lowellville, OH 44436
Phone (330) 750-9187
3262 Center Rd
Poland, OH 44514
Phone (330) 707-1220
3262 Center Rd
Ste A
Poland, OH 44514
2380 Southeast Blvd
Salem, OH 44460
Phone (330) 332-0426
2500 W Strub Rd
Sandusky, OH 44870
Phone 41960911123061
3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841
4696 Mahoning Ave NW
Warren, OH 44483
Phone (330) 847-0072
1265 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 758-8808
1450 S Canfield Niles Rd
Youngstown, OH 44515
Phone (330) 270-2700
8175 Market St
Youngstown, OH 44512
Phone (330) 629-8800
3 Greenville Orthopedic Ctr
Greenville, PA 16125
Phone (724) 588-3770
Interoperability endpoints
- gblasko19981@nomshealthcare.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Sandusky, OH
- NPI 1225085855
-
dba NOMS Healthcare
- Durable Medical Equipment & Medical Supplies
- Lorain, OH
- NPI 1952281511
-
dba NOMS Premium Imaging Center
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
-
- Podiatrist
- Chester, WV
- NPI 1477737427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1669479044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 378",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448710378",
"telephone_number": "419-626-6161",
"fax_number": "419-502-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3262 CENTER RD",
"city": "POLAND",
"state": "OH",
"postal_code": "445142201",
"telephone_number": "330-707-1220",
"fax_number": "330-707-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASKO",
"first_name": "GREGORY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36-00-2905",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC-00-4402",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WV",
"license": "330",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2052004",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.