Robert O Blanc, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT000081A Issued in PA

Practice address

3450 S Water St
Pittsburgh, PA 15203-2349

Phone

(412) 648-8705

Fax

(412) 383-8764

NPI assigned

Jul 21, 2006

Sex

Male

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851312615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 VALEWOOD DR",
            "city": "MUNHALL",
            "state": "PA",
            "postal_code": "151203535",
            "telephone_number": "412-648-8705",
            "fax_number": "412-383-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 S WATER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032349",
            "telephone_number": "412-648-8705",
            "fax_number": "412-383-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANC",
        "first_name": "ROBERT",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT000081A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Blakeley
• Nathan L Blakeley, PT, DPT, CSCS
• Jessica J Blakeslee, PA-C
• Lindsay Blakney
• Sandra Ann Blakowski, M.D.
• Josiah Blanchard, PA-C
• Katherine Somers Blanchet
• Robert J Blanciak, BS RPH
• Blancott Dialysis, LLC
• Callie Bland

• Athletic Trainer in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.