Blaise Michael Lampugnale, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.006407RX Issued in OH

Practice address

6855 Spring Valley Dr Ste 110
Holland, OH 43528-9374

Phone

(216) 438-0283

NPI assigned

Dec 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seton Emergency Physicians Inc

  • Emergency Medicine Physician
  • Daly City, CA
  • NPI 1073001202
  NPD
• Inglewood Urgent Care Inc

  • Urgent Care Clinic/Center
  • Inglewood, CA
  • NPI 1447994298
  NPD (past)

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1821533712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 SPRING VALLEY DR STE 110",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289374",
            "telephone_number": "216-438-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 SPRING VALLEY DR STE 110",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289374",
            "telephone_number": "216-438-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPUGNALE",
        "first_name": "BLAISE",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-30",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA54121",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006407RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO PA LICENSE",
            "identifier": "50.006407RX",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blampugnale@workithealth.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6855 Spring Valley Dr Ste 110",
            "city": "Holland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435289374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin L Kronberg, LPTA
• Christine Marian Kudlak, SLP
• Dora Kujawa, SLT
• Bailey Kurdys
• Deanna M Lamb, PT
• Lane Drug Co
• Christine Anne Lanning, APRN-CNM
• Daniel Scott Lawrence
• Joanne Lenkay, RN
• Angela Mary Lewandowski, PT

• Physician Assistant in Holland, OH
• Providers in Holland, 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 13, 2021; 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.