Stanley Aaron Bloustine, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0017237 Issued in WA

Practice address

Madigan Army Medical Center
Ft. Lewis, WA 98431

Phone

(253) 968-2917

NPI assigned

Dec 19, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093791485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 88TH AVENUE CT W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984671725",
            "telephone_number": "253-565-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER",
            "city": "FT. LEWIS",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUSTINE",
        "first_name": "STANLEY",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "0017237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlie Affonso
• Richard Paul Allen, PA-C
• Christopher David Cadle, PH.D.
• Jessica Claussen
• Jolee N Darnell, PHD, LICSW
• Rebecca Joy Dewaay, PSY.D.
• Makayla Raeanne Florez, DAT, LAT, ATC

• Plastic Surgery Physician in Fort Lewis, WA
• Providers in Fort Lewis, WA by specialty
• Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.