Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235470071 Individual Practitioner Female Practitioner

Tashya A Blacklock , PA

Physician Assistant • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Tashya Blacklock, PA is a registered healthcare professional specializing in Physician Assistant in Dallas, TX. Practice services are available at 5200 HARRY HINES BLVD under active NPI credentials.

Frequently performed procedures and clinical services include telephone medical discussion with physician, established patient outpatient office visit, brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5200 Harry Hines Blvd

Dallas, TX 752357709

Telephone 2145905706
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
1173 Specialists

Practicing in Dallas, TX (11140 Statewide)

Telehealth Adoption Rate
17.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes
13 13 $214.00 $44.90
99213 Established patient office or other outpatient visit, typically 15 minutes
12 11 $223.00 $44.48
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic
12 11 $108.00 $11.47

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA08196

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.

Secondary Practice Locations

4545 Fuller Dr Ste 325

Irving, TX 750386530

Phone: 9728705511

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003227802

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Eric Lara , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003275025

Certified Registered Nurse Anesthetist

Dr. Neil Keshvani , MD

Internal Medicine - Cardiovascular Disease

NPI 1003279969

Doctor of Medicine (M.D.)

Dr. Sagar Patel , MD

Anesthesiology

NPI 1003313123

Doctor of Medicine (M.D.)

Dr. David Johnson , MD

Internal Medicine - Medical Oncology

NPI 1013009422

Doctor of Medicine (M.D.)

NPI 1013306653

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location March 11, 2019

Registered at 5200 HARRY HINES BLVD, DALLAS, TX 752357709 (Tel: 2145905706)

📍
Updated Business Mailing Address March 11, 2019

Registered at PO BOX 660599, DALLAS, TX 752660599

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2019

Physician Assistant (License #PA08196 in TX)

NPI Profile Active October 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2017

Registered at 5201 HARRY HINES BLVD, DALLAS, TX 752357708 (Tel: 2145908000)

📍
Updated Business Mailing Address October 20, 2017

Registered at 5201 HARRY HINES BLVD, DALLAS, TX 752357708 (Tel: 2145908000)

👤
Provider Name / Credentials Updated October 20, 2017

Recorded as TASHYA BLACKLOCK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2017

Physician Assistant

NPI Profile Active February 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2015

Registered at 5201 HARRY HINES BLVD, DALLAS, TX 752357708 (Tel: 2145908000)

📍
Updated Business Mailing Address February 10, 2015

Registered at 5201 HARRY HINES BLVD, DALLAS, TX 752357708 (Tel: 2145908000)

👤
Provider Name / Credentials Updated February 10, 2015

Recorded as TASHYA BLACKLOCK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration March 04, 2013

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: 1235470071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2013
Last Update: March 11, 2019
Sole Proprietor: No

Mailing Address

Po Box 660599

Dallas, TX 752660599

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.