Patricia Ann Blomquist, PA-C
Individual provider Active NPI Physician Assistant · Trenton, ND
NPI 1881626422 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881626422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- ND-PAC0179 (ND)
- Practice address
- 331 4TH Ave E
Trenton, ND 58853-9998 - Phone
- (701) 774-0461
- Fax
- (701) 774-8003
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND-PAC0179 | ND | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Williston Radiology Consultants PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | ND-PAC0179 | ND | Yes |
Addresses
Primary practice location
331 4TH Ave E
Trenton, ND 58853-9998
Mailing address
8268 Highway 40
Battleview, ND 58773-9231
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1312 | Medicaid | ND | |
| 15041 | Other | ND | BC/BS OF NORTH DAKOTA |
Other providers in Trenton, ND
- Abredeen Area Tribal Chairmans Health Board
- Gregory Allen Bender
- Jami Lynn Chapman
- Lisa M Cohoe
- Dorothy Kay Collette-Gjorven
- Tina Rabenberg Falcon
- Cynthia V Gardner
All providers in Trenton, ND · Physician Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.