Active NPI
Barry F Blacker, MD
- Pediatrics Physician
- St Pete Beach, FL
National Provider Identifier
1801033048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME19217
- Practice address
- 6650 Sunset Way Apt 217
St Pete Beach, FL 33706-2176 - Phone
- (727) 360-9666
- Fax
- (727) 360-9666
- NPI assigned
- Jan 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME19217 | FL | Primary |
Addresses
Primary practice location
6650 Sunset Way Apt 217
St Pete Beach, FL 33706-2176
Mailing address
6650 Sunset Way Apt 217
St Pete Beach, FL 33706-2176
Phone (727) 360-9666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME19217 | Other | FL | STATE LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME19217 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1801033048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6650 SUNSET WAY APT 217",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "337062176",
"telephone_number": "727-360-9666",
"fax_number": "727-360-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 SUNSET WAY APT 217",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "337062176",
"telephone_number": "727-360-9666",
"fax_number": "727-360-9666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKER",
"first_name": "BARRY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-09",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME19217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "ME19217",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Pete Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.