Elizabeth Anne Blasberg, M.D.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

MD2022-1459 Issued in NM

Practice address

4100 Wolcott Ave NE Ste a
Albuquerque, NM 87109-4572

Phone

(505) 855-5500

Fax

(505) 855-5501

NPI assigned

Apr 14, 2014

Last updated

Dec 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Anne Hobbs Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Elizabeth MD Facial Plastic Surgery LLC

  • Facial Plastic Surgery Physician
  • Albuquerque, NM
  • NPI 1609653336
  NPD Authorized official
• Ronald J Escudero MD PC

  • Specialist
  • Albuquerque, NM
  • NPI 1235263898
  NPD
• ENT and Allergy Associates of Florida, LLC

  • Otolaryngology Physician
  • Boca Raton, FL
  • NPI 1164473120
  NPD

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1407275829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WOLCOTT AVE NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094572",
            "telephone_number": "505-855-5500",
            "fax_number": "505-855-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WOLCOTT AVE NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094572",
            "telephone_number": "505-855-5500",
            "fax_number": "505-855-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASBERG",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NM",
            "license": "MD2022-1459",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NM",
            "license": "MD2022-1459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HOBBS",
            "middle_name": "ANNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Ann Bland, LSAA
• Margaret Ann Blank, RRT
• James Blankenship, M.D.
• Joshua Blankman, DOM
• Cheyenne Lea Blanton, PA-C
• Oakley Quinn Blasdel, RN
• Mary Blasi, MD
• Mary-Elizabeth Blasingame, LMBT
• Hollis Blatt, MSW, LISW
• Kara Dione Blattman, OTRL

• Facial Plastic Surgery Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Facial Plastic Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.