Martin Bloda, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301092346 Issued in MI

Practice address

34336 Harper Ave
Clinton Township, MI 48035-3704

Phone

(586) 791-9173

Fax

(586) 791-9393

NPI assigned

Jan 15, 2013

Last updated

Jan 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• State of Michigan Office of Financial Management

  dba State of Michigan

  • Psychiatric Hospital
  • Westland, MI
  • NPI 1508883299
  Medicare reassignment NPD
• State of Michigan Office of Financial Management

  dba Caro Psychiatric Hospital

  • Psychiatric Hospital
  • Caro, MI
  • NPI 1194767996
  NPD
• State of Michigan Office of Financial Management

  dba Michigan Veteran Homes at Chesterfield Twp

  • Skilled Nursing Facility
  • Chesterfield, MI
  • NPI 1497342653
  NPD
• Med Service Walk-in Clinic P C

  dba convenient care after hours clinic

  • Urgent Care Clinic/Center
  • Clinton TWP, MI
  • NPI 1023241866
  NPD (past)
• Med Service Walk-in Clinic P C

  dba Convenient Care After Hours Clinic

  • General Practice Physician
  • Clinton TWP, MI
  • NPI 1568654002
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1629315353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 MARYLAND CLUB DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674501",
            "telephone_number": "248-670-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34336 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353704",
            "telephone_number": "586-791-9173",
            "fax_number": "586-791-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLODA",
        "first_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301092346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Blair
• Christina Marissa Blake, D.O.
• Charles Blamo II, MSW, LLMSW
• Stephanie Ann Blaszyk
• Michael John Blendl, DC
• Blue Water Anesthesia Consultants, PC
• Blue Water Psychology, LLC
• Diane Jean Bobcean, LMSW
• Kristin Bock, CRNA
• Amie Boehmer, RN

• General Practice Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.

Verify at the official NPI Registry.