Sara E Blackman, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA215327 Issued in OR

Practice address

2610 Uhrmann Rd
Klamath Falls, OR 97601-1123

Phone

(541) 274-4171

Fax

(541) 274-4174

NPI assigned

Dec 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OR

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Medicare reassignment Care Compare group NPD
• Health Ministries Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Newton, KS
  • NPI 1346261930
  NPD (past)
• Health Ministries Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newton, KS
  • NPI 1922782309
  NPD (past)

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

• Sky Lakes Medical Center Inc

  • Occupational Therapist
  • Klamath Falls, OR
  • NPI 1134270911

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Care Compare affiliation

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1922301308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082120",
            "telephone_number": "541-274-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 UHRMANN RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011123",
            "telephone_number": "541-274-4171",
            "fax_number": "541-274-4174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 S Pine St",
            "address_2": "HEALTH MINISTRIES CLINIC",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671143745",
            "country_code": "US",
            "telephone_number": "316-283-6103",
            "fax_number": "316-283-0453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674602326",
            "country_code": "US",
            "telephone_number": "620-241-7400",
            "fax_number": "620-798-2613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 N Main St",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674602839",
            "country_code": "US",
            "telephone_number": "620-504-6241",
            "fax_number": "620-504-6341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "1501413",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA215327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcc-direct@mcpmedsurg.hin.us",
            "affiliation": "N",
            "address_1": "1000 Hospital Dr",
            "city": "McPherson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674602326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uc-direct@mcpmedsurg.hin.us",
            "affiliation": "N",
            "address_1": "823 N Main St",
            "city": "McPherson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674602839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jane Leyla Bigby, DC
• Elizabeth Anne Bird
• Tamy Faye Bjorklund
• Bobby Lee Black, CADC-1, CRM, QMHA-R
• Brian T Blackman, DNP
• Amber Lee Blackmore
• Shannon Ranae Blair, CMA
• Michaela Grace Thanh Blake, PA
• Lacey Bland
• Amy Blankenship, PHD, MSN, RN

• Medical Physician Assistant in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.