Martin S Blumenreich, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Waconia, MN
NPI 1922076686 · NPPES record last updated Nov 29, 2017
Key facts
- NPI
- 1922076686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 38112 (MN)
- Practice address
- 560 S Maple St
Suite 100
Waconia, MN 55387-1733 - Phone
- (952) 442-6606
- Fax
- (952) 442-6604
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Oncology Hematology, PA | Past |
Accepting new patients | |
| Minnesota Oncology Hematology, PA | Hematology & Oncology | Past | Accepting new patients |
Interoperability endpoints
- martin.blumenreich@moh.ikm.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 38112 | MN | Yes |
Addresses
Primary practice location
560 S Maple St
Suite 100
Waconia, MN 55387-1733
Mailing address
2550 University Ave W Ste 110N
Saint Paul, MN 55114-2001
Phone (651) 602-5309
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3612394 | Other | MN | MEDICA |
| 40B36BL | Other | MN | BLUE CROSS & BLUE SHIELD |
| 01020430 | Other | MN | PREFERRED ONE |
| 115537 | Other | MN | UCARE MN |
| 844847 | Other | MN | AMERICA'S PPO |
| HP24193 | Other | MN | HEALTHPARTNERS |
| 505875900 | Medicaid | MN |
Other providers in Waconia, MN
- Bio-Medical Applications of Minnesota, Inc.
- Erin Elizabeth Bischoff
- Alli Blake
- Ariel Blanchette
- Jule R Block
- Patricia Estela Blumenreich
- Darrin Lee Bockelmann
- Christina Bodem
- Ashlyn Boehmer
- Jessica R Bonifas
All providers in Waconia, MN · Hematology & Oncology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.