Active NPI
Stephen L Blonsky, MD
- Nephrology Physician
- Muskego, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 27560
- Practice address
- S88W12923 Upland LN
Muskego, WI 53150-7341 - Phone
- (715) 212-1291
- NPI assigned
- Sep 23, 2006
- Last updated
- Jun 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 27560 | WI | Primary |
Addresses
Primary practice location
S88W12923 Upland LN
Muskego, WI 53150-7341
Mailing address
S88W12923 Upland LN
Muskego, WI 53150-7341
Phone (715) 212-1291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27560 | WI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Care of Michiana LLC | Nephrology | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Nephrology Associates of Watertown PC | Nephrology | Past | Accepting new patients |
Locations
515 Park Place Cir
Ste 200
Mishawaka, IN 46545
Phone (574) 607-4724
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000
333 Pine Ridge Blvd
Ste 185
Wausau, WI 54401
Phone (715) 847-0477
Interoperability endpoints
- https://api.platform.athenahealth.com/5893/brand/1/csg/1/fhir/r4
- stephen.blonsky@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 6
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.
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Nephrology Physician
- Mishawaka, IN
- NPI 1093067530
-
dba Marshfield Medical Center - Eau Claire Cancer Center
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- Nephrology Physician
- Watertown, NY
- NPI 1861432304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1497855126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S88W12923 UPLAND LN",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531507341",
"telephone_number": "715-212-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S88W12923 UPLAND LN",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531507341",
"telephone_number": "715-212-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLONSKY",
"first_name": "STEPHEN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WI",
"license": "27560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskego, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.