David Howard Blatt, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD16833 Issued in OR

Practice address

350 NW Elks Dr
Suite 202
Corvallis, OR 97330-3885

Phone

(541) 758-8464

Fax

(541) 758-8460

NPI assigned

Jan 8, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1497992796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW ELKS DR",
            "address_2": "SUITE 202",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303885",
            "telephone_number": "541-758-8464",
            "fax_number": "541-758-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW ELKS DR",
            "address_2": "SUITE 202",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303885",
            "telephone_number": "541-758-8464",
            "fax_number": "541-758-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "DAVID",
        "middle_name": "HOWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD16833",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OR",
            "license": "MD16833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6098228",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine J Blackwelder
• Emma Bryanne Blake, RN
• Josie Blakeney
• Monica Rose Blalock
• Chad Anthony Blanchard
• Diana Rebecca Blatt
• Miyuki Blatt
• Katy Lynne Blaustein
• Phillip Francis Blea, LCSW
• Eric John Blickenstaff, L.C.S.W.

• Public Health & General Preventive Medicine Physician in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Public Health & General Preventive Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.