DR. JOHN BLAISDELL (NPI# 1487994059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487994059 |
| Entity Type | Individual |
| Full Name | DR. JOHN BLAISDELL |
| Credential | M.D. |
| Practice Address |
104 Johnston Kearny AZ 85137-0106 |
| Mailing Address |
Po Box 310 Kearny AZ 85137-0106 |
| Practice Telephone | 5203637491 |
| Mailing Telephone | 5203637491 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4839 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669557039 | John David Blaisdell | Dentist | 1916 Ellis Ave, Caldwell, ID 83605-4811 | 2006-10-26 |
| Street Address |
104 JOHNSTON |
| City | KEARNY |
| State | AZ |
| Zip Code | 85137-0106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003353459 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 374 Alden Road, Kearny, AZ 85137 | 2017-01-24 |
| 1295168995 | Pinal County Arizona | Public Health or Welfare | 355 Alden, Kearny, AZ 85137 | 2013-08-16 |
| 1992967780 | Cobre Valley Regional Medical Center | Clinic/Center | 100 S Tilbury Dr, Kearny, AZ 85137 | 2008-07-02 |
| 1538718150 | Katie Dawn Archuleta | Registered Nurse | 651 Senator Chastain Drive, Kearny, AZ 85137 | 2019-09-06 |
| 1508245523 | Horizon Health and Wellness, Inc. | Clinic/Center | 100 Tilbury Road, Kearny, AZ 85137 | 2015-05-22 |
| 1760722649 | Tiffany Danielle Boyd | Registered Nurse | 651 Senator Chastain Drive, Kearny, AZ 85137 | 2013-02-28 |
| 1255643136 | Travis Brandon Charles | Family Medicine | 100 Tilbury Drive, Kearny, AZ 85137-0000 | 2010-07-08 |
| 1790931210 | Bradley D. Richards | Physician Assistant | 100 Tilbury Drive, Kearny, AZ 85137-0110 | 2008-08-15 |
| 1386644581 | Vaden Corporation | Pharmacy | 338 Alden Rd, Kearny, AZ 85137-0121 | 2005-07-28 |
| 1861970139 | Horizon Health and Wellness, Inc. | Clinic/Center | 374 W Alden Rd, Kearny, AZ 85137-1208 | 2018-07-30 |
| Find all providers in zip 85137 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215971783 | Mauricio Jorge Sanchez | Emergency Medicine | 845 Kearny Ave, Kearny, NJ 07032-3244 | 2006-06-15 |
| 1013918002 | Emergency Associates of Kearny, P.a. | Emergency Medicine | 206 Bergen Ave, Kearny, NJ 07032-3324 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627815 | Fep Ncch | Emergency Medicine | 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148 | 2020-10-22 |
| 1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
| 1932755006 | Ucc Tucson Holdings, LLC. | Emergency Medicine | 18773 S Nogales Hwy Ste 125, Green Valley, AZ 85614-0403 | 2019-08-14 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1386106391 | Joshua Lee Price | Emergency Medicine | 708 S Coeur D Alene Ln Ste A, Payson, AZ 85541-5662 | 2019-04-01 |
| 1346708708 | Colonna Physician Services LLC | Emergency Medicine | 4030 N Stockton Hill Rd Ste 3, Kingman, AZ 86409-2452 | 2019-03-05 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| Find all providers with the same taxonomy | ||||
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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.