Edgar R Blecker MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME78368 Issued in FL

Legal business name

EDGAR R BLECKER MD PA

Practice address

229 Sebastian Boulevard
Sebastian, FL 32958

Phone

(772) 581-0016

Fax

(772) 581-1198

NPI assigned

Jul 11, 2006

Last updated

Mar 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edgar Rene Blecker, MDNPI 1134616949

Title

President

Phone

(772) 581-0016

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDIGAD

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edgar Rene Blecker Jr.

  • Internal Medicine Physician
  • Sebastian, FL
  • NPI 1134616949
  Medicare reassignment Care Compare group NPD Authorized official
• Edgar R Blecker, M.D.

  • Internal Medicine Physician
  • Sebastian, FL
  • NPI 1952388100
  Medicare reassignment Care Compare group NPD
• Lianny Paneque Pillo, NP-BC

  • Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1750279840
  Medicare reassignment NPD
• Laura M Sherman, APRN

  • Family Nurse Practitioner
  • Vero Beach, FL
  • NPI 1043571813
  Medicare reassignment NPD
• Bethany Joy Silvas, ARNP

  • Family Nurse Practitioner
  • Sebastian, FL
  • NPI 1982089090
  Medicare reassignment NPD
• Sheri He

  • Physician Assistant
  • The Villages, FL
  • NPI 1457989196
  Medicare reassignment
• Clara Lee

  • Medical Physician Assistant
  • Sebastian, FL
  • NPI 1346735727
  Medicare reassignment

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1871528562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 SEBASTIAN BOULEVARD",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-581-0016",
            "fax_number": "772-581-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 SEBASTIAN BOULEVARD",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-581-0016",
            "fax_number": "772-581-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR R BLECKER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "BLECKER",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-581-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED",
            "identifier": "0095910",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB1340",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "35392",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camilla Jaye Dunn, O.D.
• Dva Renal Healthcare Inc (Sebastian Dialysis)
• Ear, Nose and Throat Center P.a.
• Clint Earl, PHARMD
• Jorge Andres Echeverry, PA-C
• Ekos Sebastian PLLC (Riverside Family Dental)
• Leann C Elmore, LMT
• Karl C Elser, DO
• Larry R Erickson, M.D.
• Eugene H Usow DO PA

• Internal Medicine Physician in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.