Michael W Blatt, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

35046680 Issued in OH

Practice address

106 Plaza Dr
Saint Clairsville, OH 43950-6700

Phone

(740) 695-5207

Fax

(740) 695-4116

NPI assigned

Oct 28, 2005

Last updated

May 5, 2020By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: blatt.michael.005.0480018@ohvmc.meditab.direct-ci.com

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1346230422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439506700",
            "telephone_number": "740-695-5207",
            "fax_number": "740-695-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439506700",
            "telephone_number": "740-695-5207",
            "fax_number": "740-695-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "12278",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35046680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083278000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434613",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Boscovs Department Store LLC (Boscov's Optical)

• Pulmonary Disease Physician in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Pulmonary Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.