ANDREW LOREN BLOUNT (NPI# 1285896977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285896977 |
Entity Type | Individual |
Full Name | ANDREW LOREN BLOUNT |
Credential | MD |
Practice Address |
500 W Thomas Rd Ste 800 Phoenix AZ 85013 |
Mailing Address |
3030 N Central Ave Ste 1001 Phoenix AZ 85012-2716 |
Practice Telephone | 6024062663 |
Practice Fax Number | 6024066368 |
Mailing Telephone | 6024064786 |
Mailing Fax Number | 9166364358 |
Enumeration Date | 2008-06-25 |
Last Update Date | 2019-07-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 49079 | AZ | Other Service Providers |
N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
49079 | AZ | Allopathic & Osteopathic Physicians |
N | 208200000X | Plastic Surgery | 49079 | AZ | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 49079 | AZ | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 4301092551 | MI | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
49079 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | PENDING | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
18444 N 25th Ave, Ste 210, Phoenix, AZ 850231264 | 6235375600 | 8669392673 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306025556 | Andrew Jeremiah Blount | Case Manager/Care Coordinator | 499 Loma Alta Avenue, Eastfield Ming Quong Inc, San Jose, CA 95136-4923 | 2007-10-24 |
Street Address |
500 W THOMAS RD STE 800 |
City | PHOENIX |
State | AZ |
Zip Code | 85013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760696371 | Peter S. Wu | Plastic Surgery | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2007-05-10 |
1902259120 | Anna Lyons | Physician Assistant | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2016-07-22 |
1841605086 | Matthew Morin | Orthopaedic Surgery | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2014-06-26 |
1740691641 | Jacob Duncan | Orthopaedic Surgery | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2014-05-13 |
1669811121 | Joshua James Nelson | Plastic Surgery | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2013-06-18 |
1124361373 | Joshua William Hustedt | Orthopaedic Surgery | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2013-04-05 |
1104124007 | Brandon Howard Forester | Physician Assistant | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013 | 2011-03-02 |
1851603195 | Cassandra Foss | Obstetrics & Gynecology | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2010-07-01 |
1679885909 | Christine Craig | Obstetrics & Gynecology | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2010-07-01 |
1275858102 | Adam Keith Lee | Orthopaedic Surgery | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2010-04-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
Find all providers in zip 85013 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144430182 | Jason Lee Mussman | Surgery | 10240 W. Indian School Rd., Suite 115, Phoenix, AZ 85037 | 2007-05-22 |
1801832977 | Tamir Mosharrafa | Surgery | 4611 E Shea Blvd Ste 230, Phoenix, AZ 85028 | 2006-06-20 |
1598705410 | Robert J Mcgregor | Surgery | 7601 N Central Ave, Unit 23, Phoenix, AZ 85020-4079 | 2006-06-08 |
1457303471 | Ali M Mosharrafa | Surgery | 4611 E Shea Blvd, Suite 230, Phoenix, AZ 85028-4254 | 2006-05-17 |
1730138561 | Travis C Holcombe | Surgery | 300 W Clarendon Ave Ste 440, Phoenix, AZ 85013-3420 | 2006-05-09 |
1104817378 | Barry Fernando | Surgery | 2777 E Camelback Rd Ste 140, #780, Phoenix, AZ 85016-4351 | 2005-11-04 |
1275521635 | Marc E Gottlieb | Surgery | 1012 E Willetta Street, Phoenix, AZ 85006 | 2005-10-10 |
1457969115 | Regenerative Institute Pllc | Surgery | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 | 2020-07-20 |
1164058954 | Leland H Webb Md Plastic Surgery Plc | Surgery | 300 W Clarendon Ave Ste 440, Phoenix, AZ 85013-3476 | 2020-03-12 |
1508421819 | Phoenix Plastic Surgery, Pllc | Surgery | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 | 2019-05-02 |
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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.