Gregory W Blank, PA
Individual provider Active NPI Physician Assistant · Mason City, IA
NPI 1831161736 · NPPES record last updated Feb 17, 2009
Key facts
- NPI
- 1831161736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 001629 (IA)
- Practice address
- 250 S Crescent Dr
Mason City, IA 50401-2926 - Phone
- (641) 422-6730
- Fax
- (641) 422-6659
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central States Medicine, PLLC | Past | Accepting new patients | |
| Prairie Cardiovascular Consultants LTD | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001629 | IA | Yes |
Addresses
Primary practice location
250 S Crescent Dr
Mason City, IA 50401-2926
Mailing address
250 S Crescent Dr
Mason City, IA 50401-2926
Phone (641) 422-6730
Other providers in Mason City, IA
- Brittani Bjelland
- Stephen Daniel Blackman
- Michael Adams Blackmore
- Bladder Control Solutions, LLC
- David B Blaha
- Connie A Bleile
- Bloom Counseling Services LLC
- John L Boedeker
- Sadie Bohl
- Michelle Rae Boldt
All providers in Mason City, IA · Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.