NPIMap

Individual provider Active NPI

Martin L Blank, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Philadelphia, PA
National Provider Identifier
1477538601
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD442522 Issued in PA
Practice address
3400 Spruce STR.
6 Silverstein
Philadelphia, PA 19104
Phone
(215) 662-2050
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD442522 PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD442522 PA Primary

Addresses

Primary practice location

3400 Spruce STR.
6 Silverstein
Philadelphia, PA 19104

Mailing address

3400 Spruce STR.
6 Silverstein
Philadelphia, PA 19104
Phone (215) 662-2050

Other identifiers 1

IdentifierTypeStateIssuer
000000125631OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000674 MI Practitioner - Thoracic SurgeryPractitioner - General PracticePractitioner - General Surgery 5991735052 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Practice
Education
Michigan State University College of Human Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5213 W Houghton Lake Dr
Houghton Lake, MI 48629-8214
Phone (989) 302-4800

5580 State St
Suite 7
Saginaw, MI 48603-3485
Phone (989) 355-1982

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Tawas St Joseph Hospital Hospital, Tawas City, MI, CCN 230100
  • Saint Mary'S Standish Community Hospital Hospital, Standish, MI, CCN 231305
  • Hills & Dales General Hospital Hospital, Cass City, MI, CCN 231316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Leg revascularization (restoring blood flow)177
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospital Inc CurrentSince Feb 12, 2017 Accepting new patients
Endovascular Physicians of Michigan PC CurrentSince Nov 7, 2023 Accepting new patients
Martin Blank MD PLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Feb 20, 2014 Accepting new patients
Saginaw Cooperative Hospitals, Inc Surgery CurrentSince Feb 12, 2017 Accepting new patients
Vascular Health Clinics PLLC CurrentSince Oct 19, 2023 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Michigan Vascular Access, PC PastSince Dec 4, 2003 Accepting new patients
Southwest Medical Care Corporation Past Accepting new patients
Covenant Medical Center, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Covenant Medical Center, Inc. Past Accepting new patients

Locations

5213 W Houghton Lake Dr
Houghton Lake, MI 48629
Phone (989) 302-4800

2125 Ridgewood Dr
Midland, MI 48642
Phone (989) 254-6427

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

7950 Gratiot Rd
Ste 5
Saginaw, MI 48609
Phone (989) 239-0024

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

912 S Washington Ave
Ste 1
Saginaw, MI 48601
Phone (989) 746-7857

5580 State St
Ste 7
Saginaw, MI 48603
Phone (989) 355-1982

912 S Washington Ave
Saginaw, MI 48601
Phone (989) 791-4100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCAHCA
  • Direct secure messaging: mblank1818@direct.covenanthealthcare.com

Organizations & group practices 11

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1477538601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STR.",
            "address_2": "6 SILVERSTEIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-2050",
            "fax_number": "440-879-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STR.",
            "address_2": "6 SILVERSTEIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "MARTIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD442522",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD442522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000125631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.