Justin Blaty
MD | Pediatric Sleep Medicine | Male
Justin Blaty, MD is a Baraboo, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Sleep Medicine.
Current practice location of Justin Blaty is
1626 Tuttle St, Baraboo, Wisconsin - 53913-1501. He can be contacted on phone at
608-355-2033 and fax number 608-355-6820.
Justin Blaty is a sole proprietor of his business.
NPI number (Unique professional ID) for Justin Blaty is
1548766835 which was assigned by NPPES on 04 Apr, 2018 and it was last updated on 31 Oct, 2022.
Justin Blaty license number is
77233 for Pediatrics, Sleep Medicine (2080S0012X) in Wisconsin.
Justin Blaty practices sleep medicine and the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Complete Profile:
Justin Blaty basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Sleep Medicine |
|---|
| Provider Name : | Justin Blaty |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Justin Blaty address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1626 Tuttle St
Baraboo, WI, 53913-1501
United States |
|---|
| Phone Number : | 608-355-2033 |
|---|
| Fax Number : | 608-355-6820 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1548766835 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 04 Apr, 2018 |
|---|
| Last Updated On : | 31 Oct, 2022 |
|---|
Medicare Participation:
Justin Blaty participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8022355460 |
|---|
| Medicare Enrollment ID : | I20221027000197 |
|---|
| Primary Specialty : | Sleep Medicine |
|---|
| Medical School : | Michigan State University College Of Human Medicine |
|---|
| Graduation Year : | 2018 |
|---|
| Accepts Medicare? | Yes. Justin Blaty accepts medicare insurance. |
|---|
Group Practice Association:
Justin Blaty is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Justin Blaty is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Dean Health Systems Inc | 7012827983 | 1001 | 1626 Tuttle St
Baraboo, WI - 539131501
Ph: 6083552033 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Justin Blaty are as mentioned. Primary taxonomy code for Justin Blaty, MD is
2080S0012X (Pediatrics, Sleep Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080S0012X | Pediatrics, Sleep Medicine | No | MD61145727 | WA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 2080S0012X | Pediatrics, Sleep Medicine | Yes | 77233 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Justin Blaty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1548766835 | MEDICAID | WI | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1959 NE PACIFIC ST,
SEATTLE, WA, 98195-1009
United States | SEATTLE, WA | 206-744-3356 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jblaty436457@direct-ehr-ssmhc.com
| No affiliation | DIRECT
Direct
| OTHER
Other
jblaty436457@direct-ehr-ssmhc.com | 1626 Tuttle St,
Baraboo, WI, 53913-1501
United States |
FHIR
(FHIR URL) | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
| No affiliation | OTHER
Other
FHIR API | OTHER
Other
CCD | 1626 Tuttle St,
Baraboo, WI, 53913-1501
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1626 Tuttle St
Baraboo, WI, 53913-1501
United States |
|---|
| Phone Number : | 608-355-2033 |
|---|
| Fax Number : | 608-355-6820 |
|---|
Business Location:
Patients can refer following map for directions to
Justin Blaty practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.