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Teddy Blodgett

NPI 1306244470ActiveIndividual· Contractor· Tyler, TX

Contractor in Tyler, Texas, licensed in TX, with an NPI issued in December 2014.

Overview

NPI1306244470
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedDec 5, 2014
Last updated in NPPESDec 5, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Contractor Primary171W00000X26-3003000TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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