Ioana Alexandra Blidaru

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.005142RX Issued in OH

Practice address

2857 N Bay Dr
Westlake, OH 44145-4497

Phone

(440) 454-2607

NPI assigned

Jul 20, 2017

Last updated

Jul 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1710400882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 N BAY DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 N BAY DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454497",
            "telephone_number": "440-454-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIDARU",
        "first_name": "IOANA",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005142RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay R Blackmur, AA
• Edmond William Blades, MD
• Denisha Eurana Blanchard
• Janice Marie Blau, DO
• Matthew C. Blazek, M.D.
• Blossom Hill Inc.
• Blossom Hill Inc. (Center Ridge House)
• Samantha M Blovsky
• Greg Bloxdorf, DO
• Amanda Kathryn Blue, LISW

• Physician Assistant in Westlake, OH
• Providers in Westlake, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.