Organization Active NPI

Edward a. Blanzy DO

  • Urology Physician
  • Trenton, MI
National Provider Identifier
1962554865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
EDWARD A. BLANZY DO
Practice address
3231 West Rd
Trenton Surgical Building
Trenton, MI 48183-2399
Phone
(734) 775-4972
Fax
(734) 676-2032
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edward A. Blanzy, DONPI 1740332600
Title
Owner
Phone
(734) 775-4972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

3231 West Rd
Trenton Surgical Building
Trenton, MI 48183-2399

Mailing address

351 S Military St
Dearborn, MI 48124-1061
Phone (313) 278-5189

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962554865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S MILITARY ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241061",
            "telephone_number": "313-278-5189",
            "fax_number": "313-520-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 WEST RD",
            "address_2": "TRENTON SURGICAL BUILDING",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832399",
            "telephone_number": "734-775-4972",
            "fax_number": "734-676-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A. BLANZY DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANZY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-775-4972",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.