David a. Bleza MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DAVID A. BLEZA MD LLC

Practice address

9150 E 109TH Ave Ste 2D
Crown Point, IN 46307-7687

Phone

(219) 779-9721

Fax

(219) 779-9726

NPI assigned

Jan 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David A Bleza, M.D.NPI 1699872705

Title

President

Phone

(219) 779-9721

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Arnold Bleza, MD

  • Surgery Physician
  • Crown Point, IN
  • NPI 1699872705

  Specialist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1417288994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463081554",
            "telephone_number": "219-779-9721",
            "fax_number": "219-779-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE STE 2D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077687",
            "telephone_number": "219-779-9721",
            "fax_number": "219-779-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. BLEZA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "BLEZA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-779-9721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mignonette Darlene
• Georgene Ann Darnell, NP
• Lavawn Daugherty-Souther, LPN, IBCLC
• Maria Cecilia Dava, PHYSICAL THERAPIST
• Maria Elvira Dava, OTR/L
• Elizabeth Davidson, PHARMD
• Trevaughn Davis-Neal, LCSW
• Amari Euniece Davis
• Taylor Davitt
• Jordan De Laurentis, LSW

• Specialist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.