Elise R Blaseg, MD
Family Medicine in Salt Lake City, Utah
1205585742- Practice location
- 1250 E 3900 S Ste 260, Salt Lake City, UT 84124-1371
- Phone
- 801-265-2000
- Fax
- —
- Last updated
- October 15, 2025
Elise R Blaseg is a Family Medicine based in Salt Lake City, UT. Elise R Blaseg practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Elise R Blaseg is 1205585742 and holds a License No. 35012 (NH). The current practice location address for Elise R Blaseg is 1250 E 3900 S Ste 260, Salt Lake City, UT 84124-1371 and can be reached out via phone at 801-265-2000.
Provider Profile Details
- NPI Number
- 1205585742
- Provider Name
- Elise R Blaseg
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1250 E 3900 S Ste 260, Salt Lake City, UT 84124-1371
- Phone Number
- 801-265-2000
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 22, 2022
- Last Update Date
- October 15, 2025
- Certification Date
- October 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371 - City
- Salt Lake City
- State
- Utah
- Zip
- 84124-1371
- Phone Number
- 801-265-2000
Provider Business Mailing Address Details
- Address
- Po Box 810
Hanover, NH 03755-0810 - City
- Hanover
- State
- NH
- Zip
- 03755-0810
- Phone Number
- 603-308-1467
License Information
- License Number (1)
- 35012
- License State (1)
- NH
- Taxonomy (1)
- Family Medicine · 207Q00000X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Salt Lake City, UT
View all Family Medicine providers in Salt Lake City →- Mr. Ilsley B Colton, MDFamily Medicine · NPI 1063943116
- Dominique Billingslea, MDInternal Medicine, Critical Care Medicine · NPI 1659958742
- Alicia Burns, MDInternal Medicine, Pulmonary Disease · NPI 1437736485
- Swetha Ann Alexander, MBBSInternal Medicine, Rheumatology · NPI 1184187536
- Dr. Rebecca J Allred, MDPathology, Anatomic Pathology & Clinical Pathology · NPI 1659698397
- Amy N BishopNurse Anesthetist, Certified Registered · NPI 1205336484
Frequently Asked Questions
What is the NPI number of Elise R Blaseg, MD?
The NPI number of Elise R Blaseg, MD is 1205585742. It was assigned on March 22, 2022 and is currently active in the NPPES registry.
What is the specialty of Elise R Blaseg, MD?
Elise R Blaseg, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NH under license number 35012.
Where does Elise R Blaseg, MD practice?
The practice location is 1250 E 3900 S Ste 260, Salt Lake City, UT 84124-1371. The office can be reached at 801-265-2000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205585742 directly on the NPPES registry website.