Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW C. BLAZEK, M.D.
Deactivated Sole ProprietorDR. MATTHEW C. BLAZEK, M.D. is a Family Medicine healthcare provider located in WESTLAKE, Ohio. NPI 1053317248 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · WESTLAKE, OH
This NPI has been deactivated.
The record was deactivated on March 16, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1053317248
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2005 (0.73150684931507 yrs)
- Last Updated
- Sep 18, 2018
- Deactivated
- Mar 16, 2006
- License
-
48402 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
29257 CENTER RIDGE RDWESTLAKE, OH, 441455224Browse OH providers · Browse ZIP 44145
- Phone
- 4408997677
- Fax
- 4408997667
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WESTLAKE, OH
| Name | Credential | NPI |
|---|---|---|
| DR. JASON JON KOMITAU | M.D. | 1356340152 |
| LAWRENCE K LIEF | DO | 1114929080 |
| JOHN J WOLF III | DO | 1689666737 |
| DR. AGNES THOMAS | MD | 1700878485 |
| MRS. MARY CLARE REVOLINSKY DYKIN | MD | 1790774099 |
| DR. BRANT HOLTZMEIER | D.O | 1760460356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.