MARVEL JEAN BLAZEK (NPI# 1275587701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275587701 |
| Entity Type | Individual |
| Full Name | MARVEL JEAN BLAZEK |
| Credential | ARNP |
| Practice Address |
609 Se Kent St Greenfield IA 50849-9454 |
| Practice Telephone | 6417436189 |
| Practice Fax Number | 6417436217 |
| Mailing Telephone | 6417432123 |
| Mailing Fax Number | 6417437292 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A047506 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 3283259 | 05 | |
| IA | BLUE CROSS/BLUE SHIELD | 32933 | 01 |
| Street Address |
609 SE KENT ST |
| City | GREENFIELD |
| State | IA |
| Zip Code | 50849-9454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780667519 | Adair County Memorial Hospital | General Acute Care Hospital | 609 Se Kent St, Greenfield, IA 50849-9494 | 2005-11-25 |
| 1831714807 | Julie Doyle | Physical Therapist | 609 Se Kent St, Greenfield, IA 50849-9454 | 2020-06-15 |
| 1417500364 | Molly Hennigar | Nurse Practitioner | 609 Se Kent St, Greenfield, IA 50849-9454 | 2019-07-19 |
| 1659838035 | Rachel Hall | Pharmacist | 609 Se Kent St, Greenfield, IA 50849-9454 | 2019-02-21 |
| 1811473986 | Susan Elizabeth Herr | Physician Assistant | 609 Se Kent St, Greenfield, IA 50849-9454 | 2018-07-12 |
| 1659819233 | Jenna Evans | Physician Assistant | 609 Se Kent St, Greenfield, IA 50849-9454 | 2017-02-03 |
| 1003224544 | Traci Goltz | Physical Therapist | 609 Se Kent St, Greenfield, IA 50849-9454 | 2014-07-29 |
| 1962773374 | Katherine Alyssa Ohms | Physical Therapist | 609 Se Kent St, Greenfield, IA 50849-9454 | 2012-01-17 |
| 1588967269 | Mary Jo Ytzen | Nurse Practitioner | 609 Se Kent St, Greenfield, IA 50849-9454 | 2010-12-17 |
| 1801074794 | David Allen Black | Physician Assistant | 609 Se Kent St, Greenfield, IA 50849-9454 | 2008-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659317865 | Robert A Weiland | Optometrist | 107 Ne 2nd Street, Greenfield, IA 50849 | 2006-06-22 |
| 1720112816 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 202 Sw Kent, Greenfield, IA 50849-0254 | 2007-03-14 |
| 1023386547 | Zion Recovery Services, Inc. | Clinic/Center | 132 Southeast Court Dr., Greenfield, IA 50849-0255 | 2011-12-12 |
| 1508987819 | Staci Jean Jones | Dietitian, Registered | 304 Nw 2nd St, Greenfield, IA 50849-1027 | 2007-04-03 |
| 1417024365 | Joshua Amyas Rardin | Chiropractor | 112 Ne Hayes St, Greenfield, IA 50849-1048 | 2006-11-29 |
| 1346645546 | Rardin Chiropractic Pllc | Chiropractor | 112 Ne Hayes St, Greenfield, IA 50849-1048 | 2014-10-30 |
| 1124152814 | Lisa Anne Rardin | Chiropractor | 112 Ne Hayes St, Greenfield, IA 50849-1048 | 2007-03-15 |
| 1053467159 | Support Services of South Central Iowa | Community/Behavioral Health | 306 Public Sq, Greenfield, IA 50849-1257 | 2007-01-25 |
| 1902333503 | Greater Regional Medical Center | Clinic/Center | 246 Public Sq, Greenfield, IA 50849-1258 | 2017-05-15 |
| 1588757991 | Verlin Hubert Hockett | Dentist | 242 Public Sq, Box 240, Greenfield, IA 50849-1258 | 2006-09-30 |
| Find all providers in zip 50849 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326689704 | Kayla Ann Jens | Nurse Practitioner | 8575 W Forest Home Ave Ste 170, Greenfield, WI 53228-3469 | 2019-10-07 |
| 1265093348 | Erica M Landgraf | Nurse Practitioner | 8585 W Forest Home Ave Ste 200, Greenfield, WI 53228-3467 | 2019-06-27 |
| 1649749052 | Hancock Health Gateway Services, Inc. | Nurse Practitioner | 6189 John L. Modglin Dr, Suite 101, Greenfield, IN 46140-9364 | 2018-11-14 |
| 1649755539 | Samantha Lewis Rausch | Nurse Practitioner | 3799 N 50 E, Greenfield, IN 46140-8626 | 2018-09-26 |
| 1285128454 | Linzi Aileen Horine | Nurse Practitioner | 1317 N State St, Greenfield, IN 46140-1026 | 2018-06-20 |
| 1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
| 1184037681 | Teresa Anne Johnson | Nurse Practitioner | 105 N Grand St Ste 2, Greenfield, MO 65661-8198 | 2014-06-03 |
| 1093982944 | Karen S Hummel | Nurse Practitioner | 124 W Muskegon Dr, Greenfield, IN 46140-3069 | 2008-05-09 |
| 1740320035 | Jessica Zemlak | Nurse Practitioner | 4296 South 76th Street, Greenfield, WI 53220 | 2007-02-07 |
| 1902901176 | Lauretta M Britz | Nurse Practitioner | 105 N. Grand, #2, Greenfield, MO 65661-0367 | 2006-09-13 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 50849 |
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| 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.