DR. MICHAEL BLUTE JR. (NPI# 1376692194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376692194 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BLUTE JR. |
| Credential | M.D. |
| Practice Address |
625 N 6th St Phoenix AZ 85004-2155 |
| Mailing Address |
3030 N Central Ave Ste 1001 Phoenix AZ 85012-2716 |
| Practice Telephone | 6024068222 |
| Practice Fax Number | 6024067811 |
| Mailing Telephone | 6024068154 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 31272 | NE | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | ME127813 | FL | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 61947 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017275100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Sw Archer Rd, Box 100247, Gainesville, FL 326100247 | 3522736815 | |
| 7710 Mercy Rd Ste 1000, Omaha, NE 681242323 | 4027172500 | 4027172525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437120037 | Michael L Blute | Urology | 15 Parkman St, Wang 528, Boston, MA 02114-3117 | 2006-01-31 |
| Street Address |
625 N 6TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735585 | Panagiotis Mihalis Fidias | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004-2155 | 2005-10-27 |
| 1477048957 | Heather Betts | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-06-26 |
| 1568970945 | Karen Dirrigl | Genetic Counselor, MS | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-01-18 |
| 1619481132 | Ginka Conrey | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2017-11-20 |
| 1427406719 | Kimberly J Halla | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004-2155 | 2016-05-27 |
| 1720440548 | Uacc St. Jospeh's Hospital and Medical Center | Clinic/Center | 625 N 6th St, Phoenix, AZ 85004-2155 | 2016-03-22 |
| 1881055291 | Carrie Jean Peterson | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004 | 2016-03-11 |
| 1093180770 | Mandy Cornelius | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-12-07 |
| 1245604446 | Laurie Mann | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-25 |
| 1952775298 | Dignity Health | Pharmacy | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558879759 | Alliance Oncology of Arizona, LLC | Urology | 2525 E Arizona Biltmore Cir Ste C236, Phoenix, AZ 85016-2130 | 2018-01-22 |
| 1912327198 | Kris Miguel Cajipe | Urology | 15920 S 48th St Ste 100, Phoenix, AZ 85048-1003 | 2014-04-25 |
| 1841610003 | Elizabeth Ashley Tourville | Urology | 1313 E Osborn Rd Ste B-150, Phoenix, AZ 85014-5678 | 2014-04-25 |
| 1487090288 | Jack W Grinnan | Urology | 19841 N 27th Ave Ste 201, Phoenix, AZ 85027-4005 | 2013-05-20 |
| 1932378700 | Kevin R Bigelow | Urology | 15920 S. 48th Street, Suite 100, Phoenix, AZ 85048-1003 | 2008-02-26 |
| 1922205186 | Daniel Young Woodruff | Urology | 2444 W. Las Palmaritas Dr, Mail Stop A 112, Phoenix, AZ 85021 | 2007-06-29 |
| 1265588859 | Lauren Byrne | Urology | 15920 S 48th St, Suite 100, Phoenix, AZ 85048-1003 | 2007-01-26 |
| 1376576348 | Prostate Solutions of Arizona, P.C. | Urology | 1 E Camelback Rd, Suite 700, Phoenix, AZ 85012-1668 | 2006-07-10 |
| 1336181205 | Ilya A Volfson | Urology | 4530 E Ray Rd Ste 128, Phoenix, AZ 85044-6096 | 2006-06-12 |
| 1750320842 | Yoon Mark Hong | Urology | 2222 E Highland Ave Ste 206, Phoenix, AZ 85016 | 2006-06-05 |
| Find all providers in PHOENIX | ||||
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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.