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JOSEPH BLANCO PA-C
NPI 1922420553
Physician Assistant - Medical in Apo, AE

Active since January 16, 2014PECOS Enrolled
RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115, APO, AE 09461 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2023, Apr 20, 2022, May 17, 2021 and 3 more (6 updates tracked since 2015).

About Joseph Blanco Pa-c NPPES

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

JOSEPH BLANCO PA-C (NPI 1922420553) is an individual medical provider in Apo, AE, licensed in Utah (11710873-1206) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hill Afb.

NPPES Registry Identity

NPI1922420553
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOSEPH BLANCOCredential: PA-C
Location AddressRAF LAKENHEATH 48 MDG/SGHC, UNIT 5115Apo, AE 09461-5115
Mailing Address75th Mdg, 7321 Balmer Ave Bldg 570Hill Afb, UT 84056-5012 · (801) 777-5721
Phone011441638528124
Sole ProprietorNo
Enumeration DateJanuary 16, 2014
Last NPPES UpdateDecember 4, 20236 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1922420553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in UT · 11710873-1206
Also ListedPhysician AssistantTaxonomy 363A00000X · License 11710873-1206 (UT)

Secondary Practice Location 1

Location 175th MDG, 7321 Balmer Ave Bldg 570Hill AFB, UT 84056-5012 · Phone (801) 777-5721

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Blanco Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. LYNETTE LICCINI LURIA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115
APO, AE 09461
(163) 852-8124
DR. ALEXANDER STURGIS MACOMBER FYE M.D.
Internal Medicine
RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115
APO, AE 09461
(163) 852-8118
MR. CHAD JOHNSON LCSW
Social Worker
RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115
APO, AE 09461
(314) 226-8603
MS. NICOLE ANNE SURETTE
Occupational Therapist (Pediatrics)
RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115
APO, AE 09461
(314) 226-8124
CANDICE HODGES
Dentist (General Practice)
RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115
APO, AE 09461
(314) 226-8124
DR. KARLY L TOMMOLINO PHARM.D.
Pharmacist
RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115
APO, AE 09461
DR. JOSEPH ALLEN MUHLBAUER D.D.S.
Dentist
RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115
APO, AE 09461
(314) 226-8885
JESSICA RENEE AURELIUS PT, DPT
Physical Therapist
RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115
APO, AE 09461
(163) 852-8118

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 Joseph Blanco's NPI number?

The NPI number for Joseph Blanco is 1922420553. It was assigned to this individual provider in the NPPES registry on January 16, 2014.

Where is Joseph Blanco located?

Joseph Blanco practices at Raf Lakenheath 48 Mdg/Sghc Unit 5115, Apo, AE 09461.

What is Joseph Blanco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Joseph Blanco enrolled in Medicare?

Yes. Joseph Blanco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Blanco was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.