Active NPI
Blasick Orthopedics, PLLC
- Orthopaedic Surgery Physician
- Woodway, TX
National Provider Identifier
1992349823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- BLASICK ORTHOPEDICS, PLLC
- Practice address
- 7005 Woodway Dr Ste 101
Woodway, TX 76712-6160 - Phone
- (254) 224-8062
- Fax
- (254) 224-6385
- NPI assigned
- Nov 4, 2019
- Organization subpart
- Yes
- Parent organization
- BLASICK ORTHOPEDICS, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey S Blasick, DO
- Title
- Orthopedic Surgeon
- Phone
- (254) 224-8062
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
7005 Woodway Dr Ste 101
Woodway, TX 76712-6160
Mailing address
PO Box 26069
Belfast, ME 04915-2011
Phone (254) 224-8062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Blasick Orthopedics PLLC
Locations
7005 Woodway Dr
Ste 101
Woodway, TX 76712
Phone (254) 224-8062
Interoperability endpoints
- https://api.platform.athenahealth.com/20646/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Woodway, TX
- NPI 1235417817
-
- Physical Therapist
- Woodway, TX
- NPI 1003671090
-
- Physical Therapist
- Woodway, TX
- NPI 1922891175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1992349823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26069",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152011",
"telephone_number": "254-224-8062",
"fax_number": "254-224-6385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 WOODWAY DR STE 101",
"city": "WOODWAY",
"state": "TX",
"postal_code": "767126160",
"telephone_number": "254-224-8062",
"fax_number": "254-224-6385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLASICK ORTHOPEDICS, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BLASICK ORTHOPEDICS, PLLC",
"enumeration_date": "2019-11-04",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "BLASICK",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
"authorized_official_telephone_number": "254-224-8062",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.