Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316394489 Individual Practitioner Male Practitioner

Alex Blaze

Specialist • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Alex Blaze is a registered healthcare professional specializing in Specialist in Puyallup, WA. Practice services are available at 16515 MERIDIAN E STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16515 Meridian E Ste 101

Puyallup, WA 983756251

Telephone 2534663178

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
49 Specialists

Practicing in Puyallup, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-11
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA60630103

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Sam Brady

Massage Therapist

NPI 1457961179
Jessica Shook , MT

Massage Therapist

NPI 1568110039
Jerica Sapp , LMT

Massage Therapist

NPI 1770045387

Licensed Massage Therapist

Christine Fernandez , LMP

Massage Therapist

NPI 1982841284

Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 11, 2024

Registered at 16515 MERIDIAN E STE 101, PUYALLUP, WA 983756251 (Tel: 2534663178)

📍
Updated Business Mailing Address July 11, 2024

Registered at 16515 MERIDIAN E STE 101, PUYALLUP, WA 983756251 (Tel: 2534663178)

NPI Profile Active May 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2016

Registered at 2311 S KENT DES MOINES RD APT A103, DES MOINES, WA 981987083 (Tel: 8082381783)

📍
Updated Business Mailing Address May 19, 2016

Registered at 2311 S KENT DES MOINES RD APT A103, DES MOINES, WA 981987083 (Tel: 8082381783)

👤
Provider Name / Credentials Updated May 19, 2016

Recorded as ALEX BLAZE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2016

Specialist (License #MA60630103 in WA)

🟢
Initial NPI Registration & Enumeration May 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316394489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2016
Last Update: July 11, 2024
Sole Proprietor: Yes

Mailing Address

16515 Meridian E Ste 101

Puyallup, WA 983756251

Phone: 2534663178

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.