MEDICARE: DR. ANTHONY I BLANCHARD DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PD140R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629104344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY I BLANCHARD DPM

Provider Business Mailing Address
First Line	:	232 SAINT PIERRE BLVD
Second Line	:	STE 2
City	:	CARENCRO
State	:	LA
Zip	:	70520-3914
Country	:	US
Telephone Number	:	337-981-4001
Fax Number	:	337-981-5148

Provider Business Practice Location Address
First Line	:	1555 GARY DR
Second Line	:
City	:	BREAUX BRIDGE
State	:	LA
Zip	:	70517-3448
Country	:	US
Telephone Number	:	337-806-3349
Fax Number	:	337-909-2216

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	10/21/2016

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