DR. JOHN KENT BLAZIER MD NPI 1770586406

NPI Information

NPI: 1770586406
Provider Name: DR. JOHN KENT BLAZIER, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2033 MEADOWVIEW LN
STE 200
KINGSPORT, TN
ZIP 37660
Phone: (423) 857-2260
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DR. John Kent Blazier, MD is a pediatrics in Kingsport, TN. The provider is 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. DR. John Kent Blazier, MD NPI is 1770586406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2033 MEADOWVIEW LN
STE 200
KINGSPORT, TN
ZIP 37660-569
Phone: (423) 857-2260
Fax: (423) 857-2261

The enumeration date for this NPI number is 5/26/2005 and was last updated on 9/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD 04674	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0281780003	MEDICARE PIN
2	6701876	MEDICAID	VIRGINIA
3	3150007	MEDICAID	TENNESSEE
4	3150009	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
5	0281780001	MEDICARE PIN
6	B02278	MEDICARE UPIN
7	103I086169	MEDICARE UPIN	TENNESSEE
8	006701876	MEDICAID	VIRGINIA
9	3700592	MEDICARE UPIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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