Active NPI
Mary L. Falls Blatt, M.D.
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1902883127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26195
- Practice address
- 4818 E 28TH St
Tucson, AZ 85711-6417 - Phone
- (602) 663-1615
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26195 | AZ | Primary |
Addresses
Primary practice location
4818 E 28TH St
Tucson, AZ 85711-6417
Mailing address
4818 E. 28TH Street
Tucson, AZ 85711-6417
Phone (602) 663-1615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshfield Clinic Inc | Current | Accepting new patients |
Locations
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
819 Ash St
Spooner, WI 54801
Phone (715) 635-2111
Organizations & group practices 1
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.
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1902883127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4818 E. 28TH STREET",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857116417",
"telephone_number": "602-663-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4818 E 28TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857116417",
"telephone_number": "602-663-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLATT",
"first_name": "MARY",
"middle_name": "L. FALLS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "26195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.