1. Home
  2. Directory
  3. Pennsylvania
  4. Upland
  5. Pediatrics
  6. NPI Profile

DR. BLAZE ROBERT GUSIC M.D.
NPI 1912927138
Pediatrics in Upland, PA

Active since July 20, 2006
30 MEDICAL CENTER BLVD, SUITE 205, UPLAND, PA 19013(610) 619-7410(610) 876-8483 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Blaze Robert Gusic M.d. NPPES

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

DR. BLAZE ROBERT GUSIC M.D. (NPI 1912927138) is an individual pediatrics provider in Upland, Pennsylvania, licensed in Pennsylvania (MD-062845-L) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912927138
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BLAZE ROBERT GUSICCredential: M.D.
Location Address30 MEDICAL CENTER BLVD, SUITE 205Upland, PA 19013-3957
Mailing Address30 Medical Center Blvd, Suite 205Upland, PA 19013-3957 · (610) 619-7410 · Fax (610) 876-8483
Phone(610) 619-7410
Fax(610) 876-8483
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateOctober 15, 2012
✔ NPI 1912927138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MD-062845-L✔ Licensed in NV · 12628
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
30 MEDICAL CENTER BLVD, Upland, PA 19013
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING66128PA
Medicare ID-Type Unspecified025155PA
Medicaid001684683PA

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.

JESSICA FUNARI
Nurse Anesthetist, Certified Registered
30 MEDICAL CENTER BLVD
CHESTER, PA 19013
Delaware County (610) 874-6448
KEANU KALANI LAPOT BA
Counselor (Addiction (Substance Use Disorder))
30 MEDICAL CENTER BLVD
CHESTER, PA 19013
Delaware County (856) 404-4044
PHYLLIS GARBERMAN SCHAPIRE MD
Anesthesiology
30 MEDICAL CENTER BLVD, SUITE 305
UPLAND, PA 19013
Delaware County (610) 874-6448
CYNTHIA FOORE CRNA
Nurse Anesthetist, Certified Registered
30 MEDICAL CENTER BLVD, SUITE 305
CHESTER, PA 19013
Delaware County (610) 874-6448
MRS. JESSICA ELIZABETH MATHIESON P.A.
Physician Assistant (Medical)
30 MEDICAL CENTER BLVD, POB #1 - SUITE 305
CHESTER, PA 19013
Delaware County (610) 447-6021
RAMBABU THALLAPANENI M.D
Hospitalist
30 MEDICAL CENTER BLVD, SUITE 404
UPLAND, PA 19013
Delaware County (610) 619-8590
PATRICIA KIDWELL CRNA
Nurse Anesthetist, Certified Registered
30 MEDICAL CENTER BLVD, SUITE 305
UPLAND, PA 19013
Delaware County (610) 874-6448
GEORGE RANDOLPH WESTBY M.D.
Internal Medicine (Nephrology)
30 MEDICAL CENTER BLVD, SUITE 303
UPLAND, PA 19013
Delaware County (610) 872-8501

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 Blaze Gusic's NPI number?

The NPI number for Blaze Gusic is 1912927138. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Blaze Gusic located?

Blaze Gusic practices at 30 Medical Center Blvd Suite 205, Upland, PA 19013. The listed phone number is (610) 619-7410.

What is Blaze Gusic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Blaze Gusic was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.