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

Marina Rodzianko Blaisdell, PA-C

Individual provider Physician Assistant · NPI 1720611338

Marina Rodzianko Blaisdell, PA-C is a Physician Assistant in Boston, Massachusetts. Graduated from Tufts University School of Medicine in 2020, 6 years ago. Practices with Coastal Medical Associates, a 446-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Trained at
Tufts University School of Medicine
Licensed in
MA
In the registry since
2020
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

136 Harrison Ave
Boston, MA 02111-1817
Phone: (617) 636-0405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2 Pond Park Rd, Hingham, MA 02043-4347 — (781) 624-8352
  • 55 Fogg Rd, Weymouth, MA 02190-2432 — (781) 624-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1171439 (MA)

Record details

NPI number1720611338
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 21, 2020
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Coastal Medical Associates — 446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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