Active NPI
Joyce M Blazejewski, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 4301052662
- Practice address
- 4700 Schaefer Rd.
Dearborn, MI 48126-3698 - Phone
- (313) 581-2600
- Fax
- (313) 581-0228
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301052662 | MI | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301052662 | MI | Primary |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 4301052662 | MI |
Addresses
Primary practice location
4700 Schaefer Rd.
Dearborn, MI 48126-3698
Mailing address
200 Oceangate
Suite 100
Long Beach, CA 90802-4317
Phone (562) 499-6191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- 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 |
|---|---|---|---|
| 4301052662 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Health Corporation of Southeastern Michigan | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Seton Health Corporation of Southeastern Michigan | Emergency Medicine | Current | Accepting new patients |
| Southwest Florida Emergency Management LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Michigan, P.C. | Emergency Medicine | Current | Accepting new patients |
| FL-I Medical Services, LLC | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Dearborn, MI
- NPI 1952740656
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1598177065
Emergency Medicine
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1780911206
-
- Physical Therapy Clinic/Center
- Macomb, MI
- NPI 1487067260
-
- Physician Assistant
- Margate, FL
- NPI 1780959643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1508844200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEANGATE",
"address_2": "SUITE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "562-499-6191",
"fax_number": "562-499-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 SCHAEFER RD.",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263698",
"telephone_number": "313-581-2600",
"fax_number": "313-581-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAZEJEWSKI",
"first_name": "JOYCE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301052662",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301052662",
"primary": true
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "MI",
"license": "4301052662",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.