Marie Mantini Blazer, D.P.M

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36.003426 Issued in OH

Practice address

7000 Euclid Ave
Suite 101
Cleveland, OH 44103-4014

Phone

(216) 231-5612

Fax

(216) 721-5534

NPI assigned

Jun 22, 2007

Last updated

Jan 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ksu Foot and Ankle ClinicGroup PAC ID 1254588684, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marie.blazer.1@14723.direct.athenahealth.com
• Direct secure messaging: mblazer243034@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ksu Foot & Ankle Clinic

  dba Cleveland Foot & Ankle Clinic

  • Podiatrist
  • Independence, OH
  • NPI 1265793111
  Medicare reassignment Care Compare group NPD
• Podiatry Assoc of the Ohio College of Podiatric Medicine

  dba Beachwood Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Beachwood, OH
  • NPI 1255402442
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1083810485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17428 DEER RIDGE CIR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441367258",
            "telephone_number": "440-887-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 EUCLID AVE",
            "address_2": "SUITE 101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034014",
            "telephone_number": "216-231-5612",
            "fax_number": "216-721-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZER",
        "first_name": "MARIE",
        "middle_name": "MANTINI",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CH5179",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE CFAC",
            "identifier": "P00435157",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP BFAC",
            "identifier": "CI 5538",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2787140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryann Blatz, DNP, RNC-NIC, IBCLC
• Daniel Adam Blau
• Jaden Blauser
• Katherine Blazek, PHARMD
• Melissa Lyn Blazek, ACNP-BC
• Holli C Blazey, CNP
• Stacy Blecher
• Lillian Blechman
• Christine J Bledsoe, CRNA
• Laura Catherine Blesse Hampton, PA-C

• Podiatrist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.