DR. JONATHAN M. BLATT (NPI# 1699749804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699749804 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN M. BLATT |
| Credential | M.D. |
| Practice Address |
6542 Se Lake Rd. Suite 202 Milwaukie OR 97222 |
| Practice Telephone | 5036545636 |
| Practice Fax Number | 5036545638 |
| Mailing Telephone | 5036545636 |
| Mailing Fax Number | 5036545638 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2009-11-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MD16764 | OR | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD16764 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RR MEDICARE | 050038330 | 01 |
| WA | 8291734 | 05 | |
| OR | 009907 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932467891 | Jonathan E Blatt | Dentist | 32226 Tall Timber Dr, Farmington Hills, MI 48334-1767 | 2012-04-30 |
| Street Address |
6542 SE LAKE RD. SUITE 202 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912346461 | Vishal Khemlani | Anesthesiology | 6464 Sw Borland Rd Ste A2, Tualatin, OR 97062-8854 | 2013-06-18 |
| 1316140965 | Russell Robert Kinder | Anesthesiology | 10000 Se Main St Ste 128, Portland, OR 97216-2462 | 2007-06-08 |
| 1124075791 | Gregory Gullo | Anesthesiology | 2020 8th Ave, Suite 200, West Linn, OR 97068-4657 | 2006-05-28 |
| 1851353502 | Ahmed Ebeid | Anesthesiology | 851 Ne Baker St Ste 1, Mcminnville, OR 97128-4991 | 2006-04-06 |
| 1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
| 1013911361 | Brett T Quave | Anesthesiology | 701 Golf View Dr, Medford, OR 97504-9643 | 2005-06-01 |
| 1568083517 | Deschutes Pain Specialists LLC | Anesthesiology | 2235 Nw Shevlin Park Rd Ste 100, Bend, OR 97703-7111 | 2020-04-30 |
| 1942675467 | Pain Care Specialists of Oregon, LLC | Anesthesiology | 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 | 2015-12-09 |
| 1487023388 | Comprehensive Pain Care, LLC | Anesthesiology | 842 E Main St, Medford, OR 97504-7134 | 2015-09-21 |
| 1235520503 | Andrew Oh Md PC | Anesthesiology | 140 Nw 14th Ave, Portland, OR 97209-2601 | 2015-02-09 |
| 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.