Blanzy Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101011136 Issued in MI

Legal business name

BLANZY CLINIC

Practice address

14319 Dix Toledo Rd
Southgate, MI 48195-2506

Phone

(734) 285-0677

Fax

(734) 285-3574

NPI assigned

Nov 16, 2006

Last updated

Feb 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John E Blanzy, D.O.NPI 1629017207

Title

President

Phone

(734) 285-0677

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John E Blanzy, DO

  • Family Medicine Physician
  • Southgate, MI
  • NPI 1629017207
  Authorized official Same address or phone
• Dillon Karmo, M.D.

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1568811909
  NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1295808426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14319 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952506",
            "telephone_number": "734-285-0677",
            "fax_number": "734-285-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14319 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952506",
            "telephone_number": "734-285-0677",
            "fax_number": "734-285-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANZY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "BLANZY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-285-0677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101011136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIUAL #",
            "identifier": "1629017207",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1164462347",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1134169444",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1710926399",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Black
• Vernetta Perrin Black, TLLP
• Scott Anthony Blackburn, NP
• Brooke Blackmon
• Lakeisha M Blackwell, M.A.
• Aaron J Blanzy, DO
• John E Blanzy, DO
• Andrea Bledsoe
• Adam David Bliznick, BA., CAC-II
• Courtney Blosser

• Family Medicine Physician in Southgate, MI
• Providers in Southgate, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.