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Deactivated NPI 1629174412 Deactivated / Inactive NPI Male Practitioner

Blaise Pope Mcdaniel , PA

Physician Assistant • Chillicothe, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Blaise Mcdaniel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 16, 2006
NPI Deactivation Date November 27, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Blaise Mcdaniel, PA was a registered Physician Assistant practicing in Chillicothe, OH. Throughout an active medical career spanning 19 years, Blaise Mcdaniel provided care at the practice location at 17273 STATE ROUTE 104 until profile deactivation on 2025-11-27.

Practice Location & Contact Primary Location

Practice Address

17273 State Route 104
116a1

Chillicothe, OH 456018608

Telephone 7407731141
Fax 7407727096
Associated Practice Facility / Clinic
🏢 Chillicothe Vamc Facility NPI 1851359855

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chillicothe, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Chillicothe, OH (5376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 1004772

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003063504

Doctor of Optometry

Dr. Rebecca Ekstrand , DO

Psychiatry & Neurology - Psychiatry

NPI 1003303868

Doctor of Osteopathic Medicine (D.O.)

Christopher Bonine , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003453457

Advanced Practice Registered Nurse

Allison Ryan

Social Worker

NPI 1003467887
Ashely Trefz

Registered Nurse

NPI 1003511031
Lora Gilliland

Licensed Practical Nurse

NPI 1003552068

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 27, 2025

Record deactivated on November 27, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 17273 STATE ROUTE 104, 116A1, CHILLICOTHE, OH 456018608 (Tel: 7407731141)

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Updated Business Mailing Address July 08, 2007

Registered at 8764 BLAIN HWY, CHILLICOTHE, OH 456018644 (Tel: 7407737669)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BLAISE MCDANIEL, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #1004772 in OH)

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Initial NPI Registration & Enumeration September 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629174412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2006
Last Update: July 08, 2007
Deactivation Date: November 27, 2025

Mailing Address

8764 Blain Hwy

Chillicothe, OH 456018644

Phone: 7407737669

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.