Organization Active NPI

Guy L. Blaser DO, Inc

  • Pulmonary Disease Physician
  • Massillon, OH
National Provider Identifier
1174583736
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
GUY L. BLASER DO, INC
Practice address
2400 Wales Ave NW Ste F
Massillon, OH 44646-2366
Phone
(330) 880-0988
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Guy Blaser, DO
Title
Owner
Phone
(330) 880-0988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

2400 Wales Ave NW Ste F
Massillon, OH 44646-2366

Mailing address

2400 Wales Ave NW Ste F
Massillon, OH 44646-2366

Other identifiers 1

IdentifierTypeStateIssuer
2852042MedicaidOH

National Provider Directory

National Provider Directory

Locations

2400 Wales Ave NW
Ste F
Massillon, OH 44646
Phone (330) 492-0888

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1174583736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW STE F",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW STE F",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462366",
            "telephone_number": "330-880-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY L. BLASER DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "BLASER",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-880-0988",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2852042",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.