Active NPI
Michael Eugene Blatner, MD
- Surgery of the Hand (Plastic Surgery) Physician
- Burien, WA
National Provider Identifier
1104877109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- MD00030940
- Practice address
- 16259 Sylvester Rd SW
#302
Burien, WA 98166-3049 - Phone
- (206) 241-5400
- Fax
- (206) 241-8591
- NPI assigned
- May 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | MD00030940 | WA | Primary |
Addresses
Primary practice location
16259 Sylvester Rd SW
#302
Burien, WA 98166-3049
Mailing address
PO Box 50150
Bellevue, WA 98015-0150
Phone (425) 228-5228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00030940 | WA | MD | Surgery of the Hand (Plastic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1104877109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50150",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980150150",
"telephone_number": "425-228-5228",
"fax_number": "425-228-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16259 SYLVESTER RD SW",
"address_2": "#302",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663049",
"telephone_number": "206-241-5400",
"fax_number": "206-241-8591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLATNER",
"first_name": "MICHAEL",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-14",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "WA",
"license": "MD00030940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.