JUSTIN BLASDEL (NPI# 1255809109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255809109 |
| Entity Type | Individual |
| Full Name | JUSTIN BLASDEL |
| Practice Address |
3250 Lone Pine Rd Medford OR 97504 |
| Mailing Address |
300 W Main St Medford OR 97501-2756 |
| Practice Telephone | 5417721777 |
| Mailing Telephone | 5417721777 |
| Mailing Fax Number | 5417342410 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2470A2800X |
Technician, Health Information Specialization: Assistant Record Technician |
Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 W Main St, Medford, OR 975012756 | 5417721777 | 5417342410 |
| Street Address |
3250 LONE PINE RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| 1386002897 | Robert H Woodhouse | Social Worker | 1025 East Main Street, Medford, OR 97504 | 2016-01-29 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 2470A2800X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Health Information |
| Specialization | Assistant Record Technician |
| Definition to come... |
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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.