NPIMap

Organization Active NPI

Susan N Blaskay DC PC

Doing business as Healthline Chiropractic Clinic

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1629246145
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006762 Issued in MI
Legal business name
SUSAN N BLASKAY DC PC
Doing business as
Healthline Chiropractic Clinic
Practice address
11837 Merriman Rd
Livonia, MI 48150-1924
Phone
(734) 421-0101
Fax
(734) 421-4895
NPI assigned
Feb 19, 2008
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Susan BlaskayNPI 1639287733
Title
Chiropractor
Phone
(734) 421-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301006762 MI Primary

Addresses

Primary practice location

11837 Merriman Rd
Livonia, MI 48150-1924

Mailing address

11837 Merriman Rd
Livonia, MI 48150-1924
Phone (734) 421-0101

Other names 1

  • Healthline Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602001118 MI Part B Supplier - Clinic/Group Practice 4789666934 Receives reassigned benefits from 6 practitioners
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Locations

11837 Merriman Rd
Livonia, MI 48150
Phone (734) 421-0101

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1629246145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11837 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501924",
            "telephone_number": "734-421-0101",
            "fax_number": "734-421-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11837 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501924",
            "telephone_number": "734-421-0101",
            "fax_number": "734-421-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN N BLASKAY DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "BLASKAY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "734-421-0101"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthline Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.