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

Elise R Blaseg, MD

Individual provider Family Medicine Physician · NPI 1205585742

Elise R Blaseg, MD is a Family Practice in Salt Lake City, Utah. Graduated from Sanford School of Medicine of University of South Dakota in 2022, 4 years ago. Practices with Mary Hitchcock Memorial Hospital, a 1,266-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
4
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
NH
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371
Phone: (801) 265-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35012 (NH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205585742
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2022 (4 years in practice)
Group practice Mary Hitchcock Memorial Hospital — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Salt Lake City