MICHAEL BRANDAN BLEW (NPI# 1518489558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518489558 |
| Entity Type | Individual |
| Full Name | MICHAEL BRANDAN BLEW |
| Credential | CNIM |
| Practice Address |
3497 Wagon Wheel Rd Springdale AR 72762-0115 |
| Mailing Address |
Po Box 845 Lowell AR 72745-0845 |
| Practice Telephone | 8772952554 |
| Practice Fax Number | 8772952554 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023394152 | Michael James Blew | Hospitalist | 2435 Forest Drive, Columbia, SC 29204 | 2011-11-03 |
| Street Address |
3497 WAGON WHEEL RD |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-0115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093854473 | Advanced Monitoring Services Inc. | Neurological Surgery | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2007-02-05 |
| 1548887565 | Tyler Wayne Gano | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2020-06-26 |
| 1699391680 | Madeline R. Thornton | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2020-06-25 |
| 1578103685 | Kooper Kessler | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2020-01-07 |
| 1619527181 | Lauren Smith | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-09-17 |
| 1134774359 | Stephanie Zermeno | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-08-05 |
| 1285287987 | Kirstie Liebenberg | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-07-22 |
| 1285287953 | Jalen Skaggs | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-07-22 |
| 1932751500 | Colby Perry | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-07-12 |
| 1437613023 | Alyssa Harris | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548887565 | Tyler Wayne Gano | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2020-06-26 |
| 1699391680 | Madeline R. Thornton | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2020-06-25 |
| 1578103685 | Kooper Kessler | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2020-01-07 |
| 1619527181 | Lauren Smith | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-09-17 |
| 1134774359 | Stephanie Zermeno | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-08-05 |
| 1285287953 | Jalen Skaggs | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-07-22 |
| 1437613023 | Alyssa Harris | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-01-28 |
| 1780148379 | Helen Olson | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-01-28 |
| 1386108975 | Sarah Howell | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-01-28 |
| 1093279929 | Neurolinks Group Southwest, LLC | Specialist/Technologist, Other | 3497 Wagon Wheel Rd, Springdale, AR 72762-0115 | 2019-01-24 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on MICHAEL BRANDAN BLEW.
| 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.