Richard Thomas Blaszak

MD | Pediatric Nephrology | Male

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Complete Profile:

Richard Thomas Blaszak basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Richard Thomas Blaszak
Credential :	MD
Gender :	Male

Business Address:

Richard Thomas Blaszak address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Way # 512 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-1847
Fax Number :	501-364-1870

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1114017779
NPI Entity Type :	Individual
First Enrolment Date :	13 Oct, 2006
Last Updated On :	16 Mar, 2016

Medicare Participation:

Richard Thomas Blaszak participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5294802302
Medicare Enrollment ID :	I20080915000693
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Illinois College Of Med (chi/peor/rock/chm-urb)
Graduation Year :	1991
Accepts Medicare?	Yes. Richard Thomas Blaszak accepts medicare insurance.

Group Practice Association:

Richard Thomas Blaszak is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Richard Thomas Blaszak is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Arkansas	4082528955	1115	1 Children's Way Little Rock, AR - 722023500	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 854 Little Rock, AR - 722023500 Ph: 5013641100	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 653 Little Rock, AR - 722023571 Ph: 5013641100	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard Thomas Blaszak are as mentioned. Primary taxonomy code for Richard Thomas Blaszak, MD is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	E-2089	AR

Legacy Identifiers:

Other legacy medical identifiers of Richard Thomas Blaszak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
136438001	MEDICAID	AR

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Way # 512 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-1847
Fax Number :	501-364-1780

Business Location:

Patients can refer following map for directions to Richard Thomas Blaszak practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.