Active NPI
Susan Blaskay, D.C.
- Chiropractor
- Livonia, MI
National Provider Identifier
1639287733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301006762
- Practice address
- 11837 Merriman Rd
Livonia, MI 48150-1924 - Phone
- (734) 421-0101
- Fax
- (734) 421-4895
- NPI assigned
- Aug 28, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SB006762 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11837 Merriman Rd
Livonia, MI 48150-1924
Phone (734) 421-0101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301006762 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan N Blaskay DC PC | Chiropractor | Current | Accepting new patients |
Locations
11837 Merriman Rd
Livonia, MI 48150
Phone (734) 421-0101
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639287733",
"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": {
"last_name": "BLASKAY",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301006762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "SB006762",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.