Individual provider Active NPI

Steve Blicblum, M.D.

  • Anesthesiology Physician
  • Lakeland, FL
National Provider Identifier
1447285440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME39712 Issued in FL
Practice address
900 Griffin Rd
Lakeland, FL 33805-2442
Phone
(863) 686-3344
Fax
(813) 681-5403
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME39712 FL Primary

Addresses

Primary practice location

900 Griffin Rd
Lakeland, FL 33805-2442

Mailing address

PO Box 852
Brandon, FL 33509-0852
Phone (813) 685-5459

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080909000692 FL Practitioner - Anesthesiology 2860568284 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME39712FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Tampa Bay Anesthesia LLC Anesthesiology CurrentSince Jul 1, 2011 Accepting new patients
Steve Blicblum M D P a Anesthesiology Past Accepting new patients
Steve Blicblum, M.D.,P.a. Anesthesiology Past Accepting new patients

Locations

4809 N Armenia Ave
Ste 100
Tampa, FL 33603
Phone (813) 872-9310

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447285440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335090852",
            "telephone_number": "813-685-5459",
            "fax_number": "813-681-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GRIFFIN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052442",
            "telephone_number": "863-686-3344",
            "fax_number": "813-681-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLICBLUM",
        "first_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME39712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.