Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blaise Eby, PA-C

Individual provider Surgical Physician Assistant · NPI 1114599230

Blaise Eby, PA-C is a Physician Assistant in Detroit, Michigan. Qualified in 2021, 5 years ago. Practices with Henry Ford Urgent Care, a 111-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (800) 653-6568
Fax: (313) 876-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 W 13th St Ste 200, Jasper, IN 47546-1883 — (812) 482-7441

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011612 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1114599230
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2021
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Henry Ford Urgent Care — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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