Jeffrey W Blomstedt, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

53601 Issued in MA

Practice address

115 Wildwood Ave
Western New England Renal and Trans
Greenfield, MA 01301-1215

Phone

(413) 773-5797

Fax

(413) 773-9009

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

No

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

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1831180363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70266",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071577",
            "telephone_number": "413-788-6530",
            "fax_number": "413-750-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WILDWOOD AVE",
            "address_2": "WESTERN NEW ENGLAND RENAL AND TRANS",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011215",
            "telephone_number": "413-773-5797",
            "fax_number": "413-773-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMSTEDT",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "53601",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NH",
            "license": "9863",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001541",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6183557",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99904936",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Dale Blanchard, MSW, LICSW
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• Nephrology Physician in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Nephrology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.