JONATHAN JAMES BLAZA (NPI# 1245625359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245625359 |
| Entity Type | Individual |
| Full Name | JONATHAN JAMES BLAZA |
| Credential | MD |
| Practice Address |
1250 W National Rd Ste 400 Englewood OH 45315 |
| Mailing Address |
240 Clover Ln Apt F Beavercreek OH 45440-4498 |
| Practice Telephone | 9378323300 |
| Mailing Telephone | 9372128819 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2018-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 66669-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0310911 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2801 W Kinnickinnic River Pkwy Ste 250, Milwaukee, WI 532153678 | 4146497909 |
| Street Address |
1250 W NATIONAL RD STE 400 |
| City | ENGLEWOOD |
| State | OH |
| Zip Code | 45315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376520353 | Kristy A Zechiel | Family Medicine | 1250 W National Rd Ste 400, Englewood, OH 45315 | 2005-12-29 |
| 1780116111 | Elise Striebich | Family Medicine | 1250 W National Rd Ste 400, Englewood, OH 45315-9506 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649719139 | Lawrence Eseme Besingi | Licensed Practical Nurse | 402 Bluebell Ct, Englewood, OH 45315 | 2017-02-16 |
| 1619371580 | Specialty Medicine Care, LLC | Internal Medicine | 1250 W. National Rd, Suite 700, Englewood, OH 45315 | 2014-10-21 |
| 1023410164 | Rodney Lewis Hunter Sr. | Counselor | 611 White Clover Court, Englewood, OH 45315 | 2014-09-19 |
| 1366511750 | Hoke Road Dental Care | Dentist | 7701 Hoke Road, Clayton, OH 45315 | 2006-11-07 |
| 1154564276 | Fidelis Njok Elokobi | Registered Nurse | 1007 Meadowsweet Dr, Clayton, OH 45315-7718 | 2009-04-20 |
| 1194183046 | New Beginnings Therapeutic Services, Inc. | Community/Behavioral Health | 611 White Clover Ct, Englewood, OH 45315-7734 | 2016-02-07 |
| 1518471218 | Angela Marie Hunter | Counselor | 611 White Clover Ct, Englewood, OH 45315-7734 | 2017-11-17 |
| 1306180153 | Shaundra Janelle Blair | Occupational Therapist | 7007 Tamarack Ct, Clayton, OH 45315-7900 | 2012-11-18 |
| 1952835373 | Kimberly Holler | Home Health Aide | 5263 Virginia Springs Ct, Clayton, OH 45315-7914 | 2017-04-12 |
| 1578160453 | Dave Wetzel | In Home Supportive Care | 5585 W Wenger Rd, Clayton, OH 45315-7927 | 2020-10-05 |
| Find all providers in zip 45315 | ||||
| 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 |
|---|---|---|---|---|
| 1467087296 | Lake Erie College of Osteopathic Medicine | Family Medicine | 2828 S Mccall Rd Ste 21, Englewood, FL 34224-9517 | 2020-03-12 |
| 1841856218 | Ethos Wellness | Family Medicine | 125 N Dean St, Englewood, NJ 07631-2501 | 2019-05-11 |
| 1841760691 | Health Now Medical | Family Medicine | 9603 E Caley Cir, Englewood, CO 80111-5325 | 2018-12-04 |
| 1770099889 | Angela Marie Keeton | Family Medicine | 9000 N Main St Ste 403, Englewood, OH 45415-1165 | 2017-12-27 |
| 1699105981 | Christopher Plescia | Family Medicine | 1841 Gale St, Englewood, FL 34223-6480 | 2013-11-22 |
| 1063774149 | Nicholas J Garcia | Family Medicine | 900 Pine St Ste 111b, Englewood, FL 34223-4457 | 2012-06-13 |
| 1194090449 | Quay Snyder | Family Medicine | 9800 S Meridian Blvd, Suite 125, Englewood, CO 80112-6038 | 2012-03-20 |
| 1659511657 | Robin Elizabeth Dickinson | Family Medicine | 3333 S Bannock St Ste 820, Englewood, CO 80110-2422 | 2009-03-03 |
| 1497930242 | David Matthew Verebelyi | Family Medicine | 195 Inverness Dr W Ste 200, Englewood, CO 80112-5211 | 2007-12-28 |
| 1184831430 | Englewood Family Health Care Center Inc | Family Medicine | 2400 S Mccall Rd Ste C, Englewood, FL 34224-5136 | 2007-05-17 |
| Find all providers in ENGLEWOOD | ||||
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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.