DAVID W BLODGETT, M.D. PLLC


Address: 839 Randall Ct, Birmingham, MI 48009-1368
Phone: 2487615573

DAVID W BLODGETT, M.D. PLLC (NPI# 1285913020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285913020
Entity Type Organization
Organization Name DAVID W BLODGETT, M.D. PLLC
Practice Address 839 Randall Ct
Birmingham
MI 48009-1368
Practice Telephone 2487615573
Practice Fax Number 2485939567
Mailing Telephone 2487615573
Mailing Fax Number 2485939567
Enumeration Date 2011-08-10
Last Update Date 2011-08-10
Authorized Official Name DR. DAVID BLODGETT (OWNER)
Authorized Official Telephone 2487615573
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS0132X Clinic/Center
Specialization: Ophthalmologic Surgery
4301075561 MI Ambulatory Health Care Facilities

Office Location

Street Address 839 RANDALL CT
City BIRMINGHAM
State MI
Zip Code 48009-1368

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Taxonomy Information

Taxonomy Code 261QS0132X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ophthalmologic Surgery

Taxonomy Definition

Definition to come...

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1043364300 Columbus Eye Associates, Inc. Clinic/Center 3431 Colonnade Pkwy, Ste C2, Birmingham, AL 35243-3232 2007-01-23

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1821544891 The Cataract Vision Institute LLC Clinic/Center 20750 Civic Center Dr, Suite 300, Southfield, MI 48076-4152 2016-08-30
1124274329 Genesys Regional Medical Center Clinic/Center 235 Tree Top Cir Apt 206, Auburn Hills, MI 48326-1185 2008-08-07
1255510525 Eye Surgery Center of Michigan LLC Clinic/Center 3455 Livernois, Troy, MI 48083-5063 2007-11-02
1194867986 Lasik Education Pllc Clinic/Center 20750 Civic Center Drive, Suite 300, Southfield, MI 48076 2007-02-12
1164568580 Lasikplus of Michigan, P.C. Clinic/Center 2500 East Betline, Se, Suite C, Grand Rapids, MI 49546 2007-01-30
1285687145 Shoreline Asc, Inc. Clinic/Center 1298 E Sherman Blvd, Muskegon, MI 49444-1831 2006-05-19
1508304577 The Lasik Vision Institute LLC Clinic/Center 2900 Charlevoix Dr Se, Suite # 100, Grand Rapids, MI 49546-7085 2017-02-09
1003273129 Great Lakes Surgery Center LLC Clinic/Center 2848 Niles Rd, Suite B, Saint Joseph, MI 49085-3352 2016-01-20
1639476377 Livonia Outpatient Surgery Center, LLC Clinic/Center 33400 6 Mile Rd, Suite B, Livonia, MI 48152-3143 2011-02-15
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Competitor

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City BIRMINGHAM
Zip Code 48009

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Dataset Information

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.

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