DR. JENNIFER BLASE (NPI# 1003265893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003265893 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER BLASE |
| Credential | MD, PH.D. |
| Practice Address |
1500 E. Medical Center Drive Ann Arbor MI 48109-5718 |
| Mailing Address |
1500 E Medical Center Dr Ann Arbor MI 48109-5000 |
| Practice Telephone | 7347639251 |
| Practice Fax Number | 7347634208 |
| Mailing Telephone | 7349369814 |
| Mailing Fax Number | 7342328740 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301109886 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
4301117006 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669718433 | Jennifer Lee Blase | Technician | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2012-12-21 |
| Street Address |
1500 E. MEDICAL CENTER DRIVE |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700808862 | Pratima Sharma | Internal Medicine | 1500 E. Medical Center Drive, 3rd Floor Taubman Ctr Recp D, Ann Arbor, MI 48109-5362 | 2006-07-24 |
| 1033737747 | Jeremy X Figueroa-ortiz | Dentist | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2020-07-09 |
| 1407472822 | Nicholas Saleem Raja | Obstetrics & Gynecology | 1500 E. Medical Center Drive, L5003 Uh South, Ann Arbor, MI 48109-5276 | 2020-06-22 |
| 1285250142 | Kathryn Krukowski | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1h 247 Uh, Ann Arbor, MI 48109-5048 | 2020-06-17 |
| 1437772449 | Michael M Bair | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B1530, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-26 |
| 1457974834 | Joy Obayemi | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 2920 Taubman Center, Spc 5331, Ann Arbor, MI 48109-5331 | 2020-05-20 |
| 1720601149 | Connor Mitchell Smith | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1903 Taubman Center, Spc 5312, Ann Arbor, MI 48109 | 2020-05-20 |
| 1164083762 | Alexander Morrison-nozik | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2019-06-25 |
| 1235790163 | Sandy Tadros | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 1h241 Uh, Ann Arbor, MI 48109-5048 | 2019-06-21 |
| 1558920710 | Nicole Rigas Naidoo | Dentist | 1500 E. Medical Center Drive, Medinn C213, Spc 5831, Ann Arbor, MI 48109-5831 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972030567 | Jillian Lapinski | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2017-05-15 |
| 1689037954 | Joshua Goldman | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2016-04-03 |
| 1023402906 | Charles Nathaniel Nessle | Pediatrics | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2015-03-27 |
| 1558685180 | Angela Christine Weyand | Pediatrics | 1500 East Medical Center Drive, 7th Floor C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4257 | 2010-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306208244 | Spectrum Health Hospitals | Pediatrics | 217 S Madison, Traverse City, MI 49684 | 2016-03-21 |
| 1124347497 | George Lewis Royer Jr. | Pediatrics | 1750 Greenbriar Dr, Portage, MI 49024-5785 | 2010-05-25 |
| 1679701692 | Tania Tusharkanti Sarker | Pediatrics | 2700 Hamlin Boulevard, Inkster, MI 48141 | 2009-06-29 |
| 1942403720 | Troy Christopher Quigg | Pediatrics | 100 Michigan St Ne Fl 10, Grand Rapids, MI 49503-2560 | 2007-06-07 |
| 1922063478 | Laura K Gowans | Pediatrics | 3577 West 13 Mile Road, Suite 101, Royal Oak, MI 48073 | 2006-04-19 |
| 1427051200 | Joseph Mirro Jr. | Pediatrics | 200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 | 2005-05-24 |
| 1740802958 | Msu Health Care Inc. | Pediatrics | 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897 | 2020-05-11 |
| 1801298799 | Bronson Methodist Hospital | Pediatrics | 601 John St, Suite M005, Kalamazoo, MI 49007-5341 | 2014-09-23 |
| 1073924510 | Allison Schnepp | Pediatrics | 1 Hurley Plz, Flint, MI 48503-5902 | 2014-05-19 |
| 1497195242 | Tristan Elliot Knight | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2013-06-25 |
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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.