Gregory A Blackman, PAC, ATC
Physician Assistant, Surgical in Gardner, Massachusetts
1356897581- Practice location
- 250 Green St, Gardner, MA 01440-1396
- Phone
- 978-632-0800
- Fax
- —
- Last updated
- December 14, 2025
Gregory Andrew Blackman is a Physician Assistant, Surgical based in Gardner, MA. Gregory Andrew Blackman practices in Gardner, MA and has the professional credentials of PAC, ATC. The NPI Number for Gregory Andrew Blackman is 1356897581 and holds a License No. PA100402 (MA). The current practice location address for Gregory Andrew Blackman is 250 Green St, Gardner, MA 01440-1396 and can be reached out via phone at 978-632-0800.
Provider Profile Details
- NPI Number
- 1356897581
- Provider Name
- Gregory Andrew Blackman
- Credential
- PAC, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 250 Green St, Gardner, MA 01440-1396
- Phone Number
- 978-632-0800
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 28, 2016
- Last Update Date
- December 14, 2025
- Certification Date
- December 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 250 Green St
Gardner, MA 01440-1396 - City
- Gardner
- State
- Massachusetts
- Zip
- 01440-1396
- Phone Number
- 978-632-0800
Provider Business Mailing Address Details
- Address
- 250 Green St Ste 205
Gardner, MA 01440-1377 - City
- Gardner
- State
- MA
- Zip
- 01440-1377
- Phone Number
- 978-632-0800
- Fax Number
- 978-623-0833
License Information
- License Number (1)
- PA100402
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X · Primary
- License Number (2)
- 2000020732
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (3)
- 1174263
- Taxonomy (3)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Gardner, MA
View all Physician Assistant, Surgical providers in Gardner →- Kyle Argo, PA-CPhysician Assistant · NPI 1427415199
- Branden T Burke, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1124924477
- Crystal Beckwith-Ponce, MS, LMHCCounselor, Mental Health · NPI 1205708963
- Bridie R ClarkeCounselor, School · NPI 1972412179
- Laura CaranfaLicensed Practical Nurse · NPI 1235045501
- Chair City Dental PCDentist, General Practice · NPI 1043125818
Frequently Asked Questions
What is the NPI number of Gregory A Blackman, PAC, ATC?
The NPI number of Gregory A Blackman, PAC, ATC is 1356897581. It was assigned on August 28, 2016 and is currently active in the NPPES registry.
What is the specialty of Gregory A Blackman, PAC, ATC?
Gregory A Blackman, PAC, ATC is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA100402.
Where does Gregory A Blackman, PAC, ATC practice?
The practice location is 250 Green St, Gardner, MA 01440-1396. The office can be reached at 978-632-0800 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356897581 directly on the NPPES registry website.