DAVID DANIEL BLASCZAK (NPI# 1164436960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164436960 |
| Entity Type | Individual |
| Full Name | DAVID DANIEL BLASCZAK |
| Credential | MD |
| Practice Address |
2 W Genesee St Clyde NY 14433-1126 |
| Practice Telephone | 3159232721 |
| Practice Fax Number | 3159235023 |
| Mailing Telephone | 3159232721 |
| Mailing Fax Number | 3159235023 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 142005 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00485507 | 05 |
| Street Address |
2 W GENESEE ST |
| City | CLYDE |
| State | NY |
| Zip Code | 14433-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043556434 | Diana Fowler | Nurse Practitioner | 4 West Genesee Street, Clyde, NY 14433 | 2012-12-12 |
| 1679857965 | Ruth A Godwin Wagner | Occupational Therapist | 212 E. Dezeng St., Clyde Elementary School, Clyde, NY 14433 | 2011-10-05 |
| 1598097503 | Nancy V. Harper | Registered Nurse | 11752 Hunts Corners Road, Clyde, NY 14433 | 2010-02-02 |
| 1427240464 | Town of Galen | Ambulance | 15 Ford St, Clyde, NY 14433 | 2007-08-14 |
| 1104984723 | John William Lefevre | Dentist | 105 Glasgow St, Clyde, NY 14433-0133 | 2006-12-05 |
| 1326338716 | Lynne Ann Owens | Licensed Practical Nurse | 112 W Genesee St, Clyde, NY 14433-1023 | 2011-04-19 |
| 1043590383 | Lisa Marie Prober | Licensed Practical Nurse | 46 Duncan St, Clyde, NY 14433-1029 | 2011-08-18 |
| 1578915278 | Lisa Everett | Nurse Practitioner | 4 W Genesee St, Clyde Family Health Center, Clyde, NY 14433-1126 | 2016-07-06 |
| 1114009685 | Galens, Inc. | Pharmacy | 17 Sodus St, Clyde, NY 14433-1215 | 2006-10-20 |
| 1134386584 | Robert Montemorano | Pharmacist | 17 Sodus St, Clyde, NY 14433-1215 | 2008-05-21 |
| Find all providers in zip 14433 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619239365 | Hoa-dung T Nguyen | Family Medicine | 360 Hospital Dr Ste 1, Clyde, NC 28721-0107 | 2012-06-08 |
| 1487865234 | Marc Anthony Naderer | Family Medicine | 1076 W Mcpherson Hwy, Clyde, OH 43410-1002 | 2007-05-24 |
| 1992761886 | Prime Doc of Haywood, Pa | Family Medicine | 262 Leroy George Drive, Clyde, NC 28721-7430 | 2006-04-21 |
| 1306806039 | Albert Monroe Kincheloe | Family Medicine | 1712 N Access Rd, Clyde, TX 79510-3352 | 2006-03-25 |
| 1497724140 | Charles P House Sr Do | Family Medicine | 700 W Maple St, Clyde, OH 43410-1414 | 2006-03-15 |
| 1225007016 | Charles P House Sr. | Family Medicine | 420 W Mcpherson Hwy, Clyde, OH 43410-1133 | 2006-03-15 |
| 1740634526 | Stephen Kinser | Family Medicine | 6750 Carolina Blvd, Clyde, NC 28721-7052 | 2016-04-19 |
| 1902291792 | Charles Kaighn Morlok | Family Medicine | 262 Leroy George Dr, Clyde, NC 28721 | 2015-03-30 |
| 1265847198 | Keith Whiteman | Family Medicine | 490 Hospital Dr, Clyde, NC 28721 | 2014-06-30 |
| 1043625965 | Kelly Garcia | Family Medicine | 490 Hospital Dr, Clyde, NC 28721 | 2014-06-30 |
| Find all providers in CLYDE | ||||
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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.