Matthew William Blanke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA060832 Issued in PA

Practice address

231 Granite Run Drive
Lancaster, PA 17601

Phone

(717) 560-4200

Fax

(717) 560-4159

NPI assigned

Jul 23, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lancaster Orthopedic Group, Inc.Group PAC ID 1557264678, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339
• Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
• Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mblanke190582@wellspan.direct-ci.com

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.

• Lancaster Orthopedic Group, Inc.

  • Orthopaedic Surgery Physician
  • Lancaster, PA
  • NPI 1598740508
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
  • NPI 1083615587
  Care Compare affiliation
• Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
  • NPI 1558558064
  Care Compare affiliation
• Ephrata Community Hospital

  • Hospitalist Physician
  • Ephrata, PA
  • NPI 1700023041
  Care Compare affiliation
• Ephrata Community Hospital-Spu

  • Clinic/Center
  • Ephrata, PA
  • NPI 1548423684

  Hospital

  Care Compare affiliation
• Lancaster General Hospital

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1104875103
  Care Compare affiliation
• Lancaster General Hospital

  • General Acute Care Hospital
  • Parkesburg, PA
  • NPI 1245571942
  Care Compare affiliation
• Lancaster General Hospital

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1538290424

  Hospital

  Care Compare affiliation
• Penn State Health Lancaster Medical Center

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1013674266
  Care Compare affiliation

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1881247484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 GRANITE RUN DRIVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-560-4200",
            "fax_number": "717-560-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 GRANITE RUN DRIVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-560-4200",
            "fax_number": "717-560-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKE",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikole Evans Blake, LCSW
• Ryleigh Blakley
• Andrew Bland, PHD
• Kirstie R Blank, COTA/L
• Laura Kathryn Blank, CRNA
• Tierney Bleacher, MS, LBS
• Mark Gerard Bleecher, PTA
• Blessed With the Best Care
• Cynthia Lee Blevins, DNP CRNP
• Megan Blocker, MA, BCBA, LBS

• Physician Assistant in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.