# ADAM C. BLANTON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508258856
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 2775 | SC | — |
| 363A00000X | Physician Assistant | 50.004709RX | OH | — |
| 363A00000X | Physician Assistant | 700 | WV | Yes |
| 363A00000X | Physician Assistant | PA1983 | KY | — |
| 363A00000X | Physician Assistant | TC366 | KY | — |

## Other

- **Enumeration date:** 02/24/2015
- **Last updated:** 01/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0174794 | — | OH |
| 05 | — | 1508258856 | — | WV |