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

Keith P Blaquiere, PA

Individual provider Physician Assistant · NPI 1265735369

Keith P Blaquiere, PA is a Physician Assistant in Boston, Massachusetts. Qualified in 2010, 16 years ago. Practices with Physicians of Falmouth Hospital, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (508) 566-2429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Ter Heun Dr, Falmouth, MA 02540-2599 — (508) 548-5300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA4100 (MA)

Record details

NPI number1265735369
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 10, 2010
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Physicians Of Falmouth Hospital — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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