KYLE BLASSER DO NPI 1285132852

NPI Information

NPI: 1285132852
Provider Name: KYLE BLASSER, DO
Classification: Hospitalist - 208M00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1381 S PATRICK DR
PATRICK AFB, FL
ZIP 32925
Phone: (321) 494-8241

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NPI Details

Kyle Blasser, DO is a hospitalist in Patrick Afb, FL with 7 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Kyle Blasser, DO NPI is 1285132852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2018

The provider's business location address is:

1381 S PATRICK DR
PATRICK AFB, FL
ZIP 32925-606
Phone: (321) 494-8241

The NPI 1285132852 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/29/2018 and was last updated on 12/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	34.015266	OHIO	No
2	208M00000X	Hospitalist	34.015266	OHIO	No
3	208M00000X	Hospitalist	OS21384	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T0769	OTHER	FLORIDA	MEDICARE HFMG
2	124644000	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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