Martin Blank MD PLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

4301058197 Issued in MI

Legal business name

MARTIN BLANK MD PLC

Practice address

4701 Towne Centre Rd
Suite 202
Saginaw, MI 48604-2834

Phone

(989) 355-1982

Fax

(989) 355-1210

NPI assigned

Feb 27, 2014

Last updated

Nov 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin L Blank, MDNPI 1477538601

Title

Provider

Phone

(989) 754-3349

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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.

• Martin L Blank, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Philadelphia, PA
  • NPI 1477538601

  MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1629493630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032224",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD",
            "address_2": "SUITE 202",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042834",
            "telephone_number": "989-355-1982",
            "fax_number": "989-355-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN BLANK MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "989-754-3349",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301058197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7619035",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0703688",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mykenzie Marsden
• Tey'Ariana Mo'Naye Marshall-Broaden, LMSW
• Jake Marshall
• Jaya Marshall
• Rochelle H Marshall, FNP
• Alison Martin
• Amanda Martin
• Amanda Mae Martin
• Angel Martin
• Anna Marie Martin, NP

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.