Active NPI
Larry Mark Blattner, DO
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1992787998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DO2336
- Practice address
- 2000 West Bethany Home Road
Phoenix Baptist Hospital
Phoenix, AZ 85015 - Phone
- (480) 731-4714
- Fax
- (480) 731-5425
- NPI assigned
- Nov 16, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DO2336 | AZ | Primary |
Addresses
Primary practice location
2000 West Bethany Home Road
Phoenix Baptist Hospital
Phoenix, AZ 85015
Mailing address
PO Box 56116
Phoenix, AZ 85079
Phone (480) 731-4714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299059 | Medicaid | AZ |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2336 | AZ | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992787998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 56116",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85079",
"telephone_number": "480-731-4714",
"fax_number": "480-731-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WEST BETHANY HOME ROAD",
"address_2": "PHOENIX BAPTIST HOSPITAL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85015",
"telephone_number": "480-731-4714",
"fax_number": "480-731-5425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLATTNER",
"first_name": "LARRY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "DO2336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "299059",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.