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

Jacob Clarence Blazo

Individual provider Internal Medicine Physician · NPI 1861716748

Jacob Clarence Blazo is an Internal Medicine in Saint Joseph, Michigan. Graduated from West Virginia School of Osteopathic Medicine in 2010, 16 years ago. Practices with Lakeland Medical Practices, a 287-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
MI
In the registry since
2010
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Practice location Address checks out

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone: (269) 985-4632
Fax: (269) 985-4623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101020805 (MI)

Record details

NPI number1861716748
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2010
Last updated in NPPESMay 19, 2015
Mailing address1234 Napier Ave, Saint Joseph, MI 49085-2112

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2010 (16 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Joseph