DAVID W BLODGETT MD PLLC (NPI# 1790052082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790052082 |
| Entity Type | Organization |
| Organization Name | DAVID W BLODGETT MD PLLC |
| Practice Address |
375 Barclay Dr. Rochester Hills MI 48307 |
| Mailing Address |
839 Randall Ct Birmingham MI 48009-1368 |
| Practice Telephone | 2488523636 |
| Practice Fax Number | 2488523631 |
| Mailing Telephone | 2487615573 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | DR. DAVID W BLODGETT (OWNER) |
| Authorized Official Telephone | 2487615573 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301075561 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 005491912 | 05 |
| Street Address |
375 BARCLAY DR. |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356846174 | Walter Nelson | Specialist | 472 Kensington Dr Apt 213, Rochester Hills, MI 48307-4064 | 2018-03-25 |
| 1396105375 | Georgia Fournier | Specialist | 625 Ashley Cir, Rochester Hills, MI 48307-4594 | 2016-03-03 |
| 1104165927 | Bassel Salman, Md, Pllc | Specialist | 2840 Crooks Rd Ste 100, Rochester Hills, MI 48309-3619 | 2013-02-14 |
| 1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
| 1659571883 | Ronny Tschokonte | Specialist | 1859 Village Green Blvd Apt 105, Rochester Hills, MI 48307-6104 | 2007-07-25 |
| 1841203932 | Afr Medical Center PC | Specialist | 2950 Crooks Rd, Rochester Hills, MI 48309-3609 | 2006-08-13 |
| 1396760278 | Lisa A Meils | Specialist | 155 Rochdale Dr S, Suite A, Rochester Hills, MI 48309-2276 | 2006-07-13 |
| 1760416002 | Lisa A. Meils, M.d.,p.c. | Specialist | 155 Rochdale Dr S Ste A, Rochester Hills, MI 48309-2276 | 2006-07-11 |
| 1144256116 | Vanessa Lynne-koschtial Howe | Specialist | 245 Barclay Cir, Suite 400, Rochester Hills, MI 48307-5815 | 2006-06-23 |
| 1831176478 | Kirsten Michelle Miller-unger | Specialist | 2370 Walton Blvd, Suite 3, Rochester Hills, MI 48309-1471 | 2005-12-26 |
| Find all providers in ROCHESTER HILLS | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
Please comment or provide details below to improve the information on DAVID W BLODGETT MD PLLC.
| 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.