Jordan Blackham, PA-C

ActiveIndividual ProviderPhysician Assistant
NPI issued: July 16, 2019

Quick Facts

NPI Number
1790337046
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(435) 251-3600
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1790337046)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 16, 2019)
Data source: CMS NPPES

Provider Overview

JORDAN BLACKHAM, PA-C is a Physician Assistant provider based in Saint George, UT who has been registered with CMS since 2019. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790337046
Provider TypeIndividual Provider
GenderMale
CredentialPA-C
StatusActive
Enumeration DateJuly 16, 2019

Practice Location

CitySaint George
StateUT
ZIP Code84790-7077
Phone(435) 251-3600

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateUT

Mailing Address

CitySaint George
StateUT
ZIP Code84790-7077
Phone(435) 251-3600
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1790337046 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790337046for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790337046 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

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158,607
Physician Assistant Providers in the US

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People Also Ask

What is Jordan Blackham's NPI number?
Jordan Blackham's NPI number is 1790337046, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jordan Blackham's NPI currently active?
Yes, Jordan Blackham's NPI status is Active as of the latest CMS NPPES database updates.
What does Jordan Blackham specialize in?
Jordan Blackham specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Jordan Blackham practice?
Jordan Blackham practices in Saint George, UT 84790-7077.
When was Jordan Blackham's NPI issued?
Jordan Blackham's NPI was issued on July 16, 2019.
What is Jordan Blackham's provider type?
Jordan Blackham is registered as an Individual Provider under CMS NPI Type 1.