Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blynn L Shideler MD PC

Organization Surgery Physician · NPI 1497953921

Blynn L Shideler MD PC is a Surgery Physician in Monterey, California. Licensed in California and Washington. Registered with an NPI since 2007.

Licensed in
CA, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Lowr Ragsdale DR Ste 101
Monterey, CA 93940-5817
Phone: (425) 996-1001
Fax: (206) 600-5033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence G23099 (CA)
Surgery Physician Taxonomy 208600000X · Licence MD00045810 (WA)

Record details

NPI number1497953921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blynn Shideler — President · (425) 996-1001
NPI enumeratedJuly 5, 2007
Last updated in NPPESMarch 4, 2008
Mailing address1420 Nw Gilman Blvd, Suite 2 2786, Issaquah, WA 98027-5394

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