- Practice location
- 360 Broadway, Bangor, ME 04401-3979
- Phone
- 207-907-3650
- Fax
- 207-907-3660
- Last updated
- February 3, 2022
Royce Blackwood is a Physician Assistant, Surgical based in Bangor, ME. Royce Blackwood practices in Bangor, ME and has the professional credentials of PA-C. The NPI Number for Royce Blackwood is 1992286546 and holds a License No. PA1855 (ME). The current practice location address for Royce Blackwood is 360 Broadway, Bangor, ME 04401-3979 and can be reached out via phone at 207-907-3650 and via fax at 207-907-3660.
Provider Profile Details
- NPI Number
- 1992286546
- Provider Name
- Royce Blackwood
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 360 Broadway, Bangor, ME 04401-3979
- Phone Number
- 207-907-3650
- Fax Number
- 207-907-3660
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 22, 2018
- Last Update Date
- February 3, 2022
- Certification Date
- February 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 Broadway
Bangor, ME 04401-3979 - City
- Bangor
- State
- Maine
- Zip
- 04401-3979
- Phone Number
- 207-907-3650
- Fax Number
- 207-907-3660
Provider Business Mailing Address Details
- Address
- C/O St Marys Health System - Provider Enrollment
Po Box 7291
Lewiston, ME 04243-7291 - City
- Lewiston
- State
- ME
- Zip
- 04243-7291
- Phone Number
- 207-777-8560
- Fax Number
- 207-777-8800
License Information
- License State (1)
- ME
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X
- License Number (2)
- PA1855
- License State (2)
- ME
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
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 Bangor, ME
View all Physician Assistant, Surgical providers in Bangor →- Angela D Bacchiocchi, PA-CPhysician Assistant, Surgical · NPI 1457607244
- Catherine Chen, PA-CPhysician Assistant, Surgical · NPI 1518507664
- Erin BorgesPhysician Assistant, Surgical · NPI 1992187199
- Kate L Blanchard, PA-CPhysician Assistant, Surgical · NPI 1013655372
- Sadie Austin, PA-CPhysician Assistant, Surgical · NPI 1346802170
Frequently Asked Questions
What is the NPI number of Royce Blackwood, PA-C?
The NPI number of Royce Blackwood, PA-C is 1992286546. It was assigned on August 22, 2018 and is currently active in the NPPES registry.
What is the specialty of Royce Blackwood, PA-C?
Royce Blackwood, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in ME under license number PA1855.
Where does Royce Blackwood, PA-C practice?
The practice location is 360 Broadway, Bangor, ME 04401-3979. The office can be reached at 207-907-3650 (phone) or 207-907-3660 (fax).
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 1992286546 directly on the NPPES registry website.