DR. THEODORE BLATT (NPI# 1063686087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063686087 |
| Entity Type | Individual |
| Full Name | DR. THEODORE BLATT |
| Credential | MD |
| Practice Address |
2170 Towne Centre Place #320 Anaheim CA 92806 |
| Mailing Address |
50 Talmont Newport Coast CA 92657 |
| Practice Telephone | 7149353042 |
| Practice Fax Number | 7149353010 |
| Mailing Telephone | 9497157313 |
| Mailing Fax Number | 9497157314 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G27506 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA LICENSE NUMBER | G27506 | 01 |
| Street Address |
2170 TOWNE CENTRE PLACE #320 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
| 1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| 1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
| 1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
| 1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
| 1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
| Find all providers in zip 92806 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760756720 | Zaven G Bilezikjian | Orthopaedic Surgery | 1068 S Taylor Ct, Anaheim, CA 92808-2425 | 2012-03-07 |
| 1619275203 | Gary Joel Rosenberg | Orthopaedic Surgery | 710 N Euclid St Ste 201, Anaheim, CA 92801-4122 | 2011-03-04 |
| 1629110523 | Hurria Medical Corp | Orthopaedic Surgery | 3347 W Ball Road, Anaheim, CA 92804 | 2007-02-14 |
| 1538267042 | Peter Simon Birnbaum | Orthopaedic Surgery | 3010 W Orange Ave Ste 507, Anaheim, CA 92804-3174 | 2006-09-20 |
| 1083625578 | Todd H Katzman, M.d. Inc | Orthopaedic Surgery | 1211 W Lapalma Ave #506, Anaheim, CA 92801 | 2006-08-10 |
| 1548279029 | Todd Howard Katzman | Orthopaedic Surgery | 1211 W La Palma Ave Ste 506, Anaheim, CA 92801-2812 | 2006-08-05 |
| 1528351434 | Orthodocs A Medical Corporation | Orthopaedic Surgery | 5630 E Santa Ana Canyon Rd, Suite 150, Anaheim, CA 92807-3122 | 2011-05-25 |
| 1184945784 | Andrew Park | Orthopaedic Surgery | 3460 E La Palma Ave, Orthopedics, Anaheim, CA 92806-2020 | 2010-06-17 |
| 1548418627 | Shail M. Vyas | Orthopaedic Surgery | 8245 E Monte Vista Rd, Suite 200, Anaheim, CA 92808-1295 | 2008-09-03 |
| 1598934168 | Ramy Elias Md Inc | Orthopaedic Surgery | 1741 W Romneya Dr Ste B, Anaheim, CA 92801-1805 | 2008-02-27 |
| Find all providers in ANAHEIM | ||||
Please comment or provide details below to improve the information on DR. THEODORE BLATT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.