DR. SUSAN M BLATT (NPI# 1619064490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619064490 |
| Entity Type | Individual |
| Full Name | DR. SUSAN M BLATT |
| Credential | M.D. |
| Practice Address |
406 Elizabeth St Utica NY 13501-2306 |
| Mailing Address |
185 Genesee St Utica NY 13501-2102 |
| Practice Telephone | 3157985747 |
| Practice Fax Number | 3157981057 |
| Mailing Telephone | 3157985080 |
| Mailing Fax Number | 3157985022 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 127636 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831159318 | Susan L Blatt | Chiropractor | 367 N Main St, Suite 9, Eagar, AZ 85925-9676 | 2006-03-27 |
| Street Address |
406 ELIZABETH ST |
| City | UTICA |
| State | NY |
| Zip Code | 13501-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518415652 | Elizabeth A Campbell | Nurse Practitioner | 406 Elizabeth St, Utica, NY 13501-2306 | 2016-09-19 |
| 1710200670 | Elizabeth L Allen | Registered Nurse | 406 Elizabeth St, Utica, NY 13501-2306 | 2010-03-08 |
| 1437472396 | Marilyn T Caldwell | Registered Nurse | 406 Elizabeth St, Utica, NY 13501-2306 | 2010-03-08 |
| 1841329737 | County of Oneida | Public Health or Welfare | 406 Elizabeth St, Utica, NY 13501-2306 | 2007-03-05 |
| 1598803678 | Patrice Anne Bogan | Nurse Practitioner | 406 Elizabeth St, Utica, NY 13501-2306 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700349248 | Maria Kuehl | Student in an Organized Health Care Education/Training Program | 120 Hobart Street, Residency Program, Utica, NY 13501 | 2019-04-11 |
| 1497237622 | Bobs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 430 Bleecker St, Utica, NY 13501 | 2018-09-04 |
| 1528565421 | Michele Della Gala | Social Worker | 1427 Genesee Street, Utica, NY 13501 | 2018-04-09 |
| 1295274884 | Sheila Denita Boyd | Licensed Practical Nurse | 505 Mary Street, Utica, NY 13501 | 2017-02-16 |
| 1770034993 | Curry Mcmahon | Massage Therapist | 2707 Genesee St, Utica, NY 13501 | 2016-10-24 |
| 1689123614 | Angelica Pascone Martin | Physician Assistant | 2215 Genesee St., Utica, NY 13501 | 2016-10-03 |
| 1942673942 | Krista Lee Klopotek | Registered Nurse | 1151 Albany Street, Albany Elementary School, Utica, NY 13501 | 2015-11-12 |
| 1841618089 | Katherine Macaulay Lucey | Social Worker | 293 Genesee Street, The Neighborhood Center, Inc. Human Resources, Utica, NY 13501 | 2014-04-04 |
| 1578809067 | Laurie A Baker | Social Worker | 2307 Genesee St, Utica, NY 13501 | 2013-01-02 |
| 1104170505 | Amanda Knoeller | Social Worker | 683 Mary Street, Utica, NY 13501 | 2012-11-07 |
| Find all providers in zip 13501 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720370158 | Amanda M Roublick | Pediatrics | 1256 Culver Ave., Utica, NY 13501 | 2011-05-03 |
| 1033200456 | Utica Pediatrics PC | Pediatrics | 1450 Camplin Ave, Utica, NY 13502 | 2006-09-28 |
| 1497771521 | Licking Memorial Professional Corp. | Pediatrics | 240 N. Main St, Utica, OH 43080 | 2006-07-14 |
| 1336104470 | Kamala J Vanaharam | Pediatrics | 7828 22 Miles Rd, Utica, MI 48317 | 2006-04-20 |
| 1770550709 | David William Brege | Pediatrics | 44720 Van Dyke Ave, Utica, MI 48317-5480 | 2006-03-08 |
| 1902184195 | Teresa Martorella | Pediatrics | 2212 Genesee St, Utica, NY 13502-5809 | 2011-07-22 |
| 1952614117 | Margaret Cooper | Pediatrics | 1256 Culver Ave, Utica, NY 13501-4253 | 2010-07-16 |
| 1487773461 | Dawn Marie Bard | Pediatrics | 1450 Champlin Ave, Utica, NY 13502-3662 | 2007-03-28 |
| 1841346111 | Karen Burns Griffith | Pediatrics | 1450 Champlin Ave, Utica, NY 13502-3662 | 2007-01-26 |
| 1578628160 | Daniel Lewis Zeidner | Pediatrics | 1450 Champlin Ave, Utica Pediatrics, Utica, NY 13502-3662 | 2006-12-26 |
| Find all providers in UTICA | ||||
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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.