ELLIOT BLAU (NPI# 1396150140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396150140 |
Entity Type | Individual |
Full Name | ELLIOT BLAU |
Credential | M.D. |
Practice Address |
1845 Veterans Park Dr Naples FL 34109-0493 |
Mailing Address |
Po Box 8569 Naples FL 34101-8569 |
Practice Telephone | 2396241160 |
Practice Fax Number | 2396241161 |
Enumeration Date | 2014-06-30 |
Last Update Date | 2020-10-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | ME147159 | FL | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | ML60569414 | WA | Student, Health Care |
N | 390200000X | Student in an Organized Health Care Education/Training Program | TRN20137 | FL | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS | Z3W7E | 01 |
FL | 108118800 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912906108 | Elliot Blau | Family Medicine | 7002 E Osborn Rd, Scottsdale, AZ 85251-6325 | 2005-07-19 |
Street Address |
1845 VETERANS PARK DR |
City | NAPLES |
State | FL |
Zip Code | 34109-0493 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033100342 | George T Crabb | Internal Medicine | 1845 Veterans Park Dr, Ste 110, Naples, FL 34109-0493 | 2005-11-04 |
1770838377 | Deborah Schlief | Nurse Practitioner | 1845 Veterans Park Dr, Suite 260, Naples, FL 34109-0493 | 2012-07-19 |
1003045857 | Kearston Kylie Perfetto | Nurse Practitioner | 1845 Veterans Park Dr, Suite 210, Naples, FL 34109-0493 | 2009-07-14 |
1376706812 | Rasai L Ernst | Family Medicine | 1845 Veterans Park Dr, #210, Naples, FL 34109-0493 | 2008-07-04 |
1316126857 | Anchor Health Centers Pa | Family Medicine | 1845 Veterans Park Dr, Suite 210, Naples, FL 34109-0493 | 2007-11-01 |
1396933776 | Anchor Health Centers Pa | Internal Medicine | 1845 Veterans Park Dr, Suite 230, Naples, FL 34109-0493 | 2007-10-10 |
1760530513 | Melissa Danielle Silva | Pediatrics | 1845 Veterans Park Dr, Naples, FL 34109-0493 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
Find all providers in zip 34109 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720300650 | Jerome Stephen Mayersak | Urology | 3480 5th Ave Nw, Naples, FL 34120-1620 | 2010-02-19 |
1669701918 | 21st Century Oncology LLC | Urology | 1044 Goodlette Rd N, Naples, FL 34102-5449 | 2009-12-16 |
1992859805 | Stuart M. Bergman | Urology | 990 Tamiami Trail North, Suite 200, Naples, FL 34102-5403 | 2007-01-22 |
1407905847 | David Wilkinson | Urology | 1035 Piper Blvd Unit 1, Naples, FL 34110 | 2007-01-08 |
1831252014 | Kendall L Wise | Urology | 1044 Goodlette Rd N., Naples, FL 34102 | 2006-12-18 |
1285714428 | David K Ornstein | Urology | 733 4th Ave N, Naples, FL 34102-5731 | 2006-10-16 |
1407820491 | Spencer Land | Urology | 1035 Piper Blvd Ste 101, Naples, FL 34110-1449 | 2006-02-15 |
1164407417 | Steven O Bossinger | Urology | 11181 Health Park Blvd Ste 1115, Naples, FL 34110 | 2005-12-09 |
1851394415 | David Spellberg | Urology | 1132 Goodlette Rd N, Naples, FL 34102-5451 | 2005-05-27 |
1265807804 | Naples Urology Specialists, LLC | Urology | 990 Tamiami Trl N, Naples, FL 34102-5403 | 2015-12-08 |
Find all providers in NAPLES |
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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.