NPIMap

Individual provider Active NPI

Steven J. Blatchford, M.D.

  • Otolaryngology Physician
  • Tucson, AZ
National Provider Identifier
1285688366
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
15176 Issued in AZ
Practice address
1775 W Saint Marys Rd
Suite 211
Tucson, AZ 85745-2696
Phone
(520) 792-2170
Fax
(520) 792-9702
NPI assigned
May 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 15176 AZ Primary
Otolaryngic Allergy Physician 207YX0602X 15176 AZ
Diagnostic Ultrasound Physician 2085U0001X 15176 AZ
Diagnostic Radiology Physician 2085R0202X 15176 AZ

Addresses

Primary practice location

1775 W Saint Marys Rd
Suite 211
Tucson, AZ 85745-2696

Mailing address

1775 W Saint Marys Rd
Suite 211
Tucson, AZ 85745-2696
Phone (520) 792-2170

Other identifiers 1

IdentifierTypeStateIssuer
265662MedicaidAZ

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

LicenseStateTypeSpecialty
15176AZMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Arizona Ear Nose & Throat Otolaryngology PastSince Oct 1, 1991 Accepting new patients
Valley ENT, PC Otolaryngology Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1285688366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 W SAINT MARYS RD",
            "address_2": "SUITE 211",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452696",
            "telephone_number": "520-792-2170",
            "fax_number": "520-792-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 W SAINT MARYS RD",
            "address_2": "SUITE 211",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452696",
            "telephone_number": "520-792-2170",
            "fax_number": "520-792-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATCHFORD",
        "first_name": "STEVEN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-21",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "15176",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "AZ",
            "license": "15176",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "AZ",
            "license": "15176",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "15176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265662",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.