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

Jared Blackmore, PA-C

Individual provider Physician Assistant · NPI 1649559014

Jared Blackmore, PA-C is a Physician Assistant in Montgomery, Ohio. Qualified in 2011, 15 years ago. Practices with Trihealth H LLC, a 848-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10506A Montgomery Rd
Montgomery, OH 45242-4402
Phone: (513) 865-5120
Fax: (513) 865-9875
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.003392 (OH)

Record details

NPI number1649559014
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 16, 2011
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023
Mailing address10506a Montgomery Rd, Montgomery, OH 45242-4402

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Trihealth H Llc — 848 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Montgomery