John Kent Blazier, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD 04674 Issued in TN

Practice address

2033 Meadowview LN
Ste 200
Kingsport, TN 37660-7569

Phone

(423) 857-2260

Fax

(423) 857-2261

NPI assigned

May 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1770586406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2066",
            "fax_number": "423-857-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MEADOWVIEW LN",
            "address_2": "STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607569",
            "telephone_number": "423-857-2260",
            "fax_number": "423-857-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZIER",
        "first_name": "JOHN",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-26",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD 04674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006701876",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3150007",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6701876",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri Elyse Blancarte, LPC
• Susan Montella Bland, M.D.
• Kaitlyn Ruthann Blankenbeckler, FNP
• Courtney Lahatte Blankenship, DMD
• Myra Davis Blankenship, MSN, FNP-BC
• BLC Wellington - Colonial Heights, LLC
• Tony Bleckley, PT
• Savannah Rasnic Bledsoe
• Tara Bledsoe, APN
• Whitney Grace Blessing, PHARMD

• Pediatrics Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.