GLENDA LOPEZ-BLAZA MD, LLC (NPI# 1033162169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033162169 |
| Entity Type | Organization |
| Organization Name | GLENDA LOPEZ-BLAZA MD, LLC |
| Practice Address |
8710 N Dixie Dr Dayton OH 45414-2406 |
| Practice Telephone | 9374150501 |
| Practice Fax Number | 9374150520 |
| Mailing Telephone | 9374150501 |
| Mailing Fax Number | 9374150520 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-06-20 |
| Authorized Official Name | GLENDA JOY LOPEZ-BLAZA (OWNER) |
| Authorized Official Telephone | 9374150501 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0983002 | 05 | |
| OH | 2988272 | 05 |
| Street Address |
8710 N DIXIE DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45414-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356333967 | Glenda Joy Lopez-blaza | Internal Medicine | 8710 N Dixie Dr, Dayton, OH 45414-2406 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
| 1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
| 1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
| 1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
| 1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
| 1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
| 1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
| 1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
| Find all providers in zip 45414 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662105 | Michele L. Flack, D.o., LLC | Internal Medicine | 3718 Whisper Creek Dr, Dayton, OH 45414-2570 | 2019-01-09 |
| 1851755623 | Yousef B. A. Mohamed | Internal Medicine | South Dayton Acute Care Consultants, Inc, 33 W Rahn Rd, Dayton, OH 45429-2219 | 2016-04-07 |
| 1427420256 | Hospitalist Md Inc | Internal Medicine | 10708 Falls Creek Ln, Dayton, OH 45458-6062 | 2015-10-20 |
| 1811316565 | Eric Kirby | Internal Medicine | 30 E Apple St # 3300, Dayton, OH 45409-2939 | 2014-04-09 |
| 1619394665 | Mohammad M Losta | Internal Medicine | 2200 Philadelphia Dr Ste 441, Dayton, OH 45406-1840 | 2014-03-27 |
| 1316378003 | Barrett Henry Bolton | Internal Medicine | 1608 Catalpa Dr, Dayton, OH 45406-5946 | 2013-12-05 |
| 1609215276 | Derrick Scott Porter | Internal Medicine | 2300 Miami Valley Dr Ste 310, Dayton, OH 45459-1294 | 2013-06-17 |
| 1295026607 | David Dukhyun Moh | Internal Medicine | 9251 Great Lakes Cir, Dayton, OH 45458-3677 | 2011-04-20 |
| 1831495266 | Kenechi Anikwe Obetta | Internal Medicine | 4750 30 E Apple St, Suite 6250, Dayton, OH 45409-2939 | 2011-02-02 |
| 1477870178 | Charles William Oberer IIi | Internal Medicine | 425 W Grand Ave Ste 2002, Dayton, OH 45405-4722 | 2010-04-21 |
| Find all providers in DAYTON | ||||
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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.