Michael S. Blaiss, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD00010264 Issued in TN

Practice address

1090 Windfaire PL
Roswell, GA 30076-3307

Phone

(901) 674-6075

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14678/brand/1/csg/1/fhir/r4

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.

• McCulley Allergy Sinus & Asthma

  • Allergy & Immunology Physician
  • Germantown, TN
  • NPI 1386194843
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1891720108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 WINDFAIRE PL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763307",
            "telephone_number": "901-674-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 WINDFAIRE PL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763307",
            "telephone_number": "901-674-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAISS",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "MD00010264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darsha Bitanga, MS CCC-SLP
• Guina G Bixler
• BKD Personal Assistance Services LLC
• Elizabeth Black
• Rena Blain, LMT, CNMT
• Lisa Blake
• Taryn Jade Blank-Jones, BCBA
• Jordan Nicole Blankenship-Sniker, DMD
• Laura Murphy Bleekrode, MD
• Blissful LLC

• Allergy & Immunology Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Allergy & Immunology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.