Michael James Blahut III, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS021186 Issued in PA

Practice address

310 Exton CMNS
Exton, PA 19341-2450

Phone

(951) 230-8315

Fax

(610) 702-9635

NPI assigned

Mar 19, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 22, 2024 through Jun 22, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• All American Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Allentown, PA
  • NPI 1558917120
  NPD

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1821592502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412450",
            "telephone_number": "951-230-8315",
            "fax_number": "610-702-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412450",
            "telephone_number": "951-230-8315",
            "fax_number": "610-702-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAHUT",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17980",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elin M. Bierly, LICENSED PSYCHOLOGIS
• Deborah Bieter -Schultz, DO
• Alicia Billups, PA-C
• Liz-El Dominique Black
• Lincoln William Blackwell, LPC
• Edward Molette Blanchard, PA-C
• Michael Block, CRNP
• Bloom Life Enterprises
• Blue Sky Home Care, LLC (ComForcare Home Care Service)
• Bms22-Inc. (Jerry Sangiamo, DC. Family Chiropractic & Massage Therapy)

• Family Medicine Physician in Exton, PA
• Providers in Exton, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.