Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Blake T Rozycki, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1174979926

Dr. Blake T Rozycki, DO is an Obstetrics/Gynecology in Johnson City, Tennessee. Qualified in 2016, 10 years ago. Practices with State of Franklin Healthcare Associates, PLLC, a 265-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Licensed in
TN
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

301 Med Tech Pkwy Ste 200
Johnson City, TN 37604-2641
Phone: (423) 794-1300
Fax: (423) 794-1820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4069 (TN)

Record details

NPI number1174979926
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 11, 2016
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing addressPo Box 632476, Cincinnati, OH 45263-2476

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice State Of Franklin Healthcare Associates, Pllc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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