Organization Active NPI

Michael William Blatt M D Inc

  • Pulmonary Disease Physician
  • Wheeling, WV
National Provider Identifier
1952429706
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
12278 Issued in WV
Legal business name
MICHAEL WILLIAM BLATT M D INC
Practice address
2101 Jacob St Ste 702
Wheeling, WV 26003-3844
Phone
(304) 242-8050
Fax
(304) 242-8233
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Mr. Michael William Blatt, M.D.,
Title
Physician
Phone
(304) 242-8050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 12278 WV Primary

Addresses

Primary practice location

2101 Jacob St Ste 702
Wheeling, WV 26003-3844

Mailing address

2101 Jacob St Ste 703
Wheeling, WV 26003-3844
Phone (304) 242-8050

Other identifiers 1

IdentifierTypeStateIssuer
1952429706OtherWVRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2101 Jacob St
Ste 703
Wheeling, WV 26003
Phone (304) 234-8409

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1952429706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JACOB ST STE 703",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033844",
            "telephone_number": "304-242-8050",
            "fax_number": "304-242-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JACOB ST STE 702",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033844",
            "telephone_number": "304-242-8050",
            "fax_number": "304-242-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WILLIAM BLATT M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "BLATT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-242-8050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "12278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1952429706",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.