JOSEPH BLUSTEIN, M.D. LLC (NPI# 1609391531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609391531 |
| Entity Type | Organization |
| Organization Name | JOSEPH BLUSTEIN, M.D. LLC |
| Practice Address |
5555 Odana Rd Madison WI 53719-1240 |
| Mailing Address |
2406 Trevor Way Madison WI 53719-4663 |
| Practice Telephone | 6082571866 |
| Practice Fax Number | 8882490658 |
| Mailing Telephone | 6083456741 |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | JOSEPH BLUSTEIN (PRESIDENT) |
| Authorized Official Telephone | 6082571866 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 2 | WI | Managed Care Organizations |
| Street Address |
5555 ODANA RD |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275731663 | John Thomas Sherfinski | Counselor | 5555 Odana Rd, Suite 207, Madison, WI 53719-1240 | 2007-07-06 |
| 1225282478 | Advanced Workforce Initiatives, Inc | Counselor | 5555 Odana Rd, Suite 104, Madison, WI 53719-1240 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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|---|---|---|---|---|
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| 1174884746 | Omni Home Health | Point of Service | 510 Hospital Dr Ste 101, Madison, TN 37115-5033 | 2012-05-31 |
| 1679639108 | Capitol Chiropractic Centre Sc | Point of Service | 121 S Pinckney St Ste 110, Madison, WI 53703-3338 | 2006-12-29 |
| 1952843450 | Integrity Family Care North Alabama LLC | Point of Service | 1041 Balch Rd Ste 300, Madison, AL 35758-8822 | 2016-11-15 |
| 1144689555 | Adams Dental LLC | Point of Service | 1 Kings Rd, Madison, NJ 07940-2016 | 2016-02-12 |
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|---|---|---|---|---|
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| 1417436528 | Hayworth Fence Co | Point of Service | 720 N Hillcrest Pkwy, Altoona, WI 54720-2702 | 2018-08-09 |
| 1194269407 | Checkpoint Industries | Point of Service | 8330 N Teutonia Ave, 103, Brown Deer, WI 53209-1550 | 2016-12-06 |
| 1649726837 | Alahnui Health Services LLC | Point of Service | 9000 W Kaul Ave, Milwaukee, WI 53225-2018 | 2016-08-29 |
| 1437524485 | Christopher Gunderson | Point of Service | 911 Jackson St # 213, Wausau, WI 54403-5696 | 2015-12-02 |
| 1235502493 | The Smith LLC | Point of Service | 9545 S 20th St Ste 2, Oak Creek, WI 53154-4929 | 2015-11-09 |
| 1992185631 | Care for All Ages | Point of Service | 1308 S Norwood Ave, Green Bay, WI 54304-1001 | 2015-06-08 |
| 1326449604 | Soul To Soul Massage LLC | Point of Service | 604 E 3rd St, Marshfield, WI 54449-4511 | 2014-09-05 |
| 1558702233 | Mary L. Feltz | Point of Service | 5958 Main St, Auburndale, WI 54412-9004 | 2013-07-10 |
| Find all providers with the same taxonomy | ||||
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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.