MEDICARE: DR. DANIEL R. BLIZZARD DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2007-01189	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	200701189	OTHER	NC	MEDICAL LICENSE
3	147N6	OTHER	NC	BCBS OF NC
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437194354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL R. BLIZZARD DO

Provider Business Mailing Address
First Line	:	120 CAUSEWAY DR STE 3
Second Line	:
City	:	OCEAN ISLE BEACH
State	:	NC
Zip	:	28469-7581
Country	:	US
Telephone Number	:	910-575-5004
Fax Number	:	855-575-0700

Provider Business Practice Location Address
First Line	:	120 CAUSEWAY DR STE 3
Second Line	:
City	:	OCEAN ISLE BEACH
State	:	NC
Zip	:	28469-7581
Country	:	US
Telephone Number	:	910-575-5004
Fax Number	:	855-575-0700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	03/17/2018

Similar Medicare Providers

1902162928 — OCEAN ISLE BEACH FAMILY MEDICINE. PC
Practice Location Address:

120 CAUSEWAY DR STE 3
OCEAN ISLE BEACH, NC
28469-7581

Practice Phone: 910-575-5004
Practice Fax: 855-575-0700

1487935797 — PATRICIA DOROTHY PRICE RPH
Practice Location Address:

7581 REGINA CT
MYRTLE BEACH, SC
29572-8005

Practice Phone: 914-552-2368
Practice Fax:

1154469492 — KATHLEEN M STRAUSS DC PC
Practice Location Address:

238 OCEAN AVENUE NORTH
LONG BRANCH, NJ
07740-7581

Practice Phone: 732-229-2228
Practice Fax: 732-229-1243

1912167024 — KATHLEEN M STRAUSS DC
Practice Location Address:

238 OCEAN AVE N
LONG BRANCH, NJ
07740-7581

Practice Phone: 732-229-2228
Practice Fax: 732-229-1243

1619862604 — ORZ CREATIVE INC
Practice Location Address:

1946 OCEAN AVE APT 4H
BROOKLYN, NY
11230-7581

Practice Phone: 917-853-9695
Practice Fax:

1336146190 — MR. BRUCE LE
Practice Location Address:

1599 SAND HARBOR CIR
OCEAN ISLE BEACH, NC
28469-6045

Practice Phone: 980-721-2192
Practice Fax:

Directions to “ DR. DANIEL R. BLIZZARD DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.