Blaser Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLASER MEDICAL LLC

Practice address

475 40TH St Ste 111
Ogden, UT 84403-1856

Phone

(801) 515-7997

Fax

(385) 333-7413

NPI assigned

Jan 5, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Ann Allison

Title

Contracting/Credentialing

Phone

(801) 391-6617

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1023721941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S SHADOW BREEZE RD",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840379401",
            "telephone_number": "801-515-7997",
            "fax_number": "385-333-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 40TH ST STE 111",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031856",
            "telephone_number": "801-515-7997",
            "fax_number": "385-333-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLASER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CONTRACTING/CREDENTIALING",
        "authorized_official_telephone_number": "801-391-6617"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Welling, MD PC
• Blamires Arch Ventures, LLLP
• Michael Allan Blamires, D.D.S.
• Baylee Blanchard, ATC
• Kayla Rose Blanton
• Brett Blaser, D.O.
• Marina Blea
• James Aaron Bledsoe, DO
• Bliv Wellness LLC
• Robert Ray Blocker, M.D.

• Family Medicine Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.