David W Blodgett MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301075561 Issued in MI

Legal business name

DAVID W BLODGETT MD PLLC

Practice address

375 Barclay Dr.
Rochester Hills, MI 48307

Phone

(248) 852-3636

Fax

(248) 852-3631

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David W Blodgett, M.D.NPI 1144217092

Title

Owner

Phone

(248) 761-5573

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David W. Blodgett, MD

  • Ophthalmology Physician
  • Lincoln, NE
  • NPI 1144217092
  NPD Authorized official

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1790052082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 RANDALL CT",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091368",
            "telephone_number": "248-761-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BARCLAY DR.",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-852-3636",
            "fax_number": "248-852-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W BLODGETT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "BLODGETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-761-5573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301075561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005491912",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David E Pawlowski DO PLLC
• David M Juliani DDS PLLC
• David S. Muir, DDS PLLC
• David Schaefer, M.D., P.C.
• David Schwartzenfeld Medical PC
• Allison Davis
• Datron Davis
• Vicky J. Davis, PH.D., CAAC, CCJS
• Nadeline A Dawisha, PA-C
• Farah Rafik Dawood-Farah, MD

• Specialist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.