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LISA ANN BLACKLIDGE PA-C
NPI 1275596728
Physician Assistant - Surgical in Bradenton, FL

Active since April 07, 2006
206 2ND ST E, BRADENTON, FL 34208(941) 746-5111(941) 745-7233 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Ann Blacklidge Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANN BLACKLIDGE PA-C (NPI 1275596728) is an individual surgical provider in Bradenton, Florida, licensed in Florida (PA9101122) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1275596728
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLISA ANN BLACKLIDGECredential: PA-C
Location Address206 2ND ST EBradenton, FL 34208-1042
Mailing Address367 S. Gulph Rd, Att Ipm CredentialingKing Of Prussia, PA 19406-3121 · (775) 356-9393 · Fax (775) 356-5590
Phone(941) 746-5111
Fax(941) 745-7233
Sole ProprietorNo
Enumeration DateApril 7, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1275596728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9101122
206 2ND ST E, Bradenton, FL 34208
Open in Google Maps ↗

Other Names 1

Former Name (1)Lisa Ann Buchianico Pa-c

Other Identifiers 2

Other970020641Railroad Medicare
Medicaid015120400FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAYLA FRITZ MD
Student in an Organized Health Care Education/Training Program
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 745-7286
MERCEDES MARIA PECK
Student in an Organized Health Care Education/Training Program
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 745-7257
MARCIE KROSKA PA-C
Physician Assistant
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111
MARTHA C LEHMAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
206 2ND ST E
BRADENTON, FL 34208
Manatee County (305) 665-4614
MANATEE MEMORIAL
Nurse Practitioner (Family)
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 745-7419
DR. RACHEL PHILIP DPM
Student in an Organized Health Care Education/Training Program
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111
HENRY E SMOAK III MD
Emergency Medicine
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111
SVETLANA KOVTUNOVA MD
Family Medicine
206 2ND ST E
BRADENTON, FL 34208
Manatee County (941) 746-5111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Blacklidge's NPI number?

The NPI number for Lisa Blacklidge is 1275596728. It was assigned to this individual provider in the NPPES registry on April 7, 2006. The provider is also known as Lisa Ann Buchianico Pa-C.

Where is Lisa Blacklidge located?

Lisa Blacklidge practices at 206 2nd St E, Bradenton, FL 34208. The listed phone number is (941) 746-5111.

What is Lisa Blacklidge's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Lisa Blacklidge was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.