Physician Assistant, Surgical
GREGORY BLACKMAN PAC, ATC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1356897581 · enumerated 2016-08-28 · record updated 2025-12-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 250 GREEN ST STE 205, GARDNER, MA, 01440-1377 (978) 632-0800 Fax (978) 623-0833 Google Maps Apple Maps OpenStreetMap
- Practice location 250 GREEN ST, GARDNER, MA, 01440-1396 (978) 632-0800 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License PA100402 MA
- Specialist/Technologist, Athletic Trainer 2255A2300X · License 2000020732
- Physician Assistant 363A00000X · License 1174263
In this directory
Locations and evidence
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Practice location
GARDNER, MA, 014401396
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.