Active NPI
Blayne L Fritz, M.D.
- Pediatrics Physician
- Helena, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 7761
- Practice address
- 1035 Monroe Ave
Helena, MT 59601-2652 - Phone
- (406) 431-5781
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 7761 | MT | Primary |
| Pediatrics Physician | 208000000X | 143824 | AK |
Addresses
Primary practice location
1035 Monroe Ave
Helena, MT 59601-2652
Mailing address
PO Box 1929
Helena, MT 59624-1929
Phone (406) 594-0880
Other practice location 1
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 225-4463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801862412 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, ME, MN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3100 Channel Dr
Suite 300
Juneau, AK 99801-7814
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7761 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pines Health Services | Pediatrics | Current | Accepting new patients |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Pines Health Services | Current | Accepting new patients | |
| Sidney Health Center | Past | Accepting new patients | |
| Sidney Health Center | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
163 Van Buren Rd
Caribou, ME 04736
Phone (207) 498-1320
163 Van Buren Rd
Ste 4
Caribou, ME 04736
Phone (207) 492-3451
74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350
111 W Vernon Ave
Fergus Falls, MN 56537
Phone (218) 736-5770
712 S Cascade St
Fergus Falls, MN 56537
Interoperability endpoints
- bfritz377062@direct.ochin.org
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Elbow Lake, MN
- NPI 1407838329
-
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- General Acute Care Hospital
- Fergus Falls, MN
- NPI 1093713372
-
- Chiropractor
- Fergus Falls, MN
- NPI 1265148480
-
- Federally Qualified Health Center (FQHC)
- Washburn, ME
- NPI 1922449834
-
- Clinic/Center
- Juneau, AK
- NPI 1427941343
-
- Clinic/Center
- Craig, AK
- NPI 1710465935
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Critical Access Hospital
- Sidney, MT
- NPI 1285719161
-
- Community Based Hospice Care Agency
- Sidney, MT
- NPI 1932160413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1801862412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1929",
"city": "HELENA",
"state": "MT",
"postal_code": "596241929",
"telephone_number": "406-594-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 MONROE AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596012652",
"telephone_number": "406-431-5781"
}
],
"practiceLocations": [
{
"address_1": "3100 Tongass Ave",
"address_purpose": "LOCATION",
"city": "Ketchikan",
"state": "AK",
"postal_code": "999015746",
"country_code": "US",
"telephone_number": "907-225-4463",
"fax_number": "907-228-8321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRITZ",
"first_name": "BLAYNE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MT",
"license": "7761",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AK",
"license": "143824",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801862412",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.