Dwight Stephen Blease, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

ME POD 204 Issued in ME

Practice address

10 Cushing St
Brunswick, ME 04011-1801

Phone

(207) 725-2800

Fax

(207) 725-5953

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dwight.blease@8399.chartlogic.direct-ci.com

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1659465011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CUSHING ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111801",
            "telephone_number": "207-725-2800",
            "fax_number": "207-725-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CUSHING ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111801",
            "telephone_number": "207-725-2800",
            "fax_number": "207-725-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEASE",
        "first_name": "DWIGHT",
        "middle_name": "STEPHEN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "ME",
            "license": "ME POD 204",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ME",
            "license": "ME POD 204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "T31402",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "010446440",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000942",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karmen K Blackstone, A.N.P.
• Laurie A. Blain, LCSW
• Dawn Blake, LCSW
• Brittany Ann Wallingford Blakemore, LMT
• Hedy P Blauvelt, LMT
• Bluesage Therapies Inc.
• Bluewater Emergency Partners of Brunswick, LLC
• Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care
• Bluewater Health of Vermont, LLC
• Eileen M. Boardman, LCSW

• Foot & Ankle Surgery Podiatrist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Foot & Ankle Surgery Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.
• 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.

Verify at the official NPI Registry.