JEFFREY S BLASICK (NPI# 1235417817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235417817 |
| Entity Type | Individual |
| Full Name | JEFFREY S BLASICK |
| Credential | D.O. |
| Practice Address |
5100 Franklin Ave Ste C Waco TX 76710 |
| Mailing Address |
Po Box 16190 Belfast ME 04915-4056 |
| Practice Telephone | 2547540375 |
| Practice Fax Number | 2547542667 |
| Mailing Telephone | 2547540375 |
| Mailing Fax Number | 2547542667 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2018-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Q6735 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | Q6735 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5100 Franklin Ave Ste C, Waco, TX 76710 | 8886246882 | 8888824498 |
| 3500 Hillcrest Dr, Ste. 1, Waco, TX 767083144 | 8886246882 | 8888824498 |
| Street Address |
5100 FRANKLIN AVE STE C |
| City | WACO |
| State | TX |
| Zip Code | 76710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168706 | Hayden Joe Grimm | Physical Therapy Assistant | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2020-09-14 |
| 1538770664 | Kyndall M Brownsworth | Physical Therapist | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2020-08-12 |
| 1528606357 | Esmpt, LLC | Clinic/Center | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2019-12-11 |
| 1376185553 | Denise M Wise | Physical Therapist | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2019-10-09 |
| 1639660533 | Kelsy Dieterich | Specialist/Technologist, Other | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2018-05-25 |
| 1770969800 | Kristin L Hill | Nurse Practitioner | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2015-07-30 |
| 1750706347 | Total Trauma Care, Pllc | Family Medicine | 5100 Franklin Ave Ste C, Waco, TX 76710-6922 | 2014-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902184302 | Scott Hecox | Orthopaedic Surgery | 50 Hillcrest Medical Blvd Ste 208, Waco, TX 76712 | 2011-08-02 |
| 1720247414 | Keith Taylor Ellison | Orthopaedic Surgery | 50 Hillcrest Medical Blvd Ste 303, Waco, TX 76712-8955 | 2008-06-06 |
| 1093917726 | Waco Bone & Joint Clinic, P.a. | Orthopaedic Surgery | 5100 Franklin Aveune, Suite C, Waco, TX 76710-6922 | 2007-06-04 |
| 1124095799 | Rahul Banerjee | Orthopaedic Surgery | 3500 Hillcrest Dr, Suite 1, Waco, TX 76708-3157 | 2006-03-02 |
| 1760476337 | Paul Anthony Bednarz | Orthopaedic Surgery | 5100 Franklin Ave, Waco, TX 76710-6922 | 2005-09-09 |
| 1982600193 | Jon Michael Ellis | Orthopaedic Surgery | 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712-8897 | 2005-06-22 |
| 1992349823 | Blasick Orthopedics, Pllc | Orthopaedic Surgery | 7005 Woodway Dr Ste 101, Waco, TX 76712-6160 | 2019-11-04 |
| 1811261985 | John Freeland Ackley | Orthopaedic Surgery | 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712-8897 | 2012-03-06 |
| 1063705820 | Chung-chieh Lo | Orthopaedic Surgery | 205 Woodhew Dr Ste 203, Waco, TX 76712-6679 | 2011-05-26 |
| 1194045773 | Husain Mohsin Bharmal | Orthopaedic Surgery | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2010-06-07 |
| Find all providers in WACO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.