Individual provider Active NPI

Jay Blasingame, MD

  • Surgical Oncology Physician
  • Perryton, TX
National Provider Identifier
1730575598
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
S5123 Issued in TX
Practice address
3101 Garrett Dr
Perryton, TX 79070-5323
Phone
(806) 435-3606
NPI assigned
Apr 8, 2015
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X S5123 TX Primary

Addresses

Primary practice location

3101 Garrett Dr
Perryton, TX 79070-5323

Mailing address

3101 Garrett Dr
Perryton, TX 79070-5323

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707000119 TX Practitioner - General Surgery 2466751128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochiltree Hospital DistrictGroup PAC ID 0749257723, shared by 7 NPIs, 15 clinicians

Practice addresses (Care Compare)

3101 Garrett Dr
Perryton, TX 79070-5323
Phone (806) 435-3606

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochiltree Hospital District CurrentSince Jul 1, 2020 Accepting new patients
Ochiltree Hospital District Current Accepting new patients
Ochiltree Hospital District CurrentSince Jul 1, 2020 Accepting new patients
Ochiltree Hospital District Past Accepting new patients

Locations

3101 Garrett Dr
Perryton, TX 79070
Phone (806) 435-3606

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1730575598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323",
            "telephone_number": "806-435-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASINGAME",
        "first_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "S5123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryton, TX

Sources for this page

Verify at the official NPI Registry.