Active NPIIndividual provider

Dr. Elizabeth A Blazick, MD

Surgery in South Portland, Maine

NPI Number1548465123
Practice location
400 Southborough Dr Ste 400-102, South Portland, ME 04106-3249
Fax
207-274-7848
Last updated
July 8, 2026

Elizabeth A Blazick is a Surgery based in South Portland, ME. Elizabeth A Blazick practices in South Portland, ME and has the professional credentials of MD. The NPI Number for Elizabeth A Blazick is 1548465123 and holds a License No. MD20129 (ME). The current practice location address for Elizabeth A Blazick is 400 Southborough Dr Ste 400-102, South Portland, ME 04106-3249 and can be reached out via phone at 207-464-8288 and via fax at 207-274-7848.

Provider Profile Details

NPI Number
1548465123
Provider Name
Elizabeth A Blazick
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
400 Southborough Dr Ste 400-102, South Portland, ME 04106-3249
Phone Number
207-464-8288
Fax Number
207-274-7848
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2007
Last Update Date
July 8, 2026
Certification Date
July 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Southborough Dr Ste 400-102
South Portland, ME 04106-3249
State
Maine
Zip
04106-3249
Phone Number
207-464-8288
Fax Number
207-274-7848
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
400 Southborough Dr Ste 400-102
South Portland, ME 04106-3249
City
South Portland
State
ME
Zip
04106-3249
Phone Number
207-464-8288
Fax Number
207-274-7848

License Information

License Number (1)
MD20129
License State (1)
ME
Taxonomy (1)
Surgery · 208600000X · Primary
License Number (2)
L-231914
License State (2)
MA
Taxonomy (2)
Surgery · 208600000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elizabeth A Blazick, MD?

The NPI number of Dr. Elizabeth A Blazick, MD is 1548465123. It was assigned on June 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Elizabeth A Blazick, MD?

Dr. Elizabeth A Blazick, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in ME under license number MD20129.

Where does Dr. Elizabeth A Blazick, MD practice?

The practice location is 400 Southborough Dr Ste 400-102, South Portland, ME 04106-3249. The office can be reached at 207-464-8288 (phone) or 207-274-7848 (fax).

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 1548465123 directly on the NPPES registry website.

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