Daniel Anthony Blaz, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

09219 Issued in OH

Practice address

431 Meadowlark St
Shaw AFB, SC 29152-5019

Phone

(803) 885-7976

NPI assigned

Sep 28, 2006

Last updated

Mar 17, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Uniformed Services Uhs Fe Hebert School of Med, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wooster Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Wooster, OH
  • NPI 1033135009
  Medicare reassignment Care Compare group NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881786879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 MEADOWLARK ST",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525019",
            "telephone_number": "330-858-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MEADOWLARK ST",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525019",
            "telephone_number": "803-885-7976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gabreski Dr",
            "address_purpose": "LOCATION",
            "city": "Shaw AFB",
            "state": "SC",
            "postal_code": "291525202",
            "country_code": "US",
            "telephone_number": "803-885-7976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 Jones Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208144712",
            "country_code": "US",
            "telephone_number": "330-858-3514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2480 Llewellyn Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Meade",
            "state": "MD",
            "postal_code": "207557081",
            "country_code": "US",
            "telephone_number": "330-858-3514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAZ",
        "first_name": "DANIEL",
        "middle_name": "ANTHONY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN279151",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "09219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Alan Barnett, RPH
• Sarah J Barnhart, PAC
• Suzan Beattie
• Misty Marie Bennett, DDS
• Eric Black, IDMT
• Elizabeth Ann Bowman, DDS
• Crystal Marie Boyle, LCSW
• Kyra Brooks, FNP-C
• Robert Gregory Burgess, PT
• Patti E Busser

• Family Nurse Practitioner in Shaw AFB, SC
• Providers in Shaw AFB, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.