Justin Blaty, MD
Justin Blaty, MD is a Pediatric Medicine in Boise, Idaho. Graduated from Michigan State University College of Human Medicine in 2018, 8 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho, Washington and Wisconsin.
- Years since qualifying
- 8
- Trained at
- Michigan State University College of Human Medicine
- Licensed in
- ID, WA, WI
- In the registry since
- 2018
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1075 N Curtis Rd Ste 201Boise, ID 83706-1350
Phone: (208) 302-3300
Fax: (208) 302-3355
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 1959 Ne Pacific St, Seattle, WA 98195-1009 — (206) 744-3356
- 1626 Tuttle St, Baraboo, WI 53913-1501 — (608) 355-2033
Specialties & licences
| Pediatric Sleep Medicine Physician (primary) | Taxonomy 2080S0012X · Licence M-17623 (ID) |
|---|---|
| Pediatric Sleep Medicine Physician | Taxonomy 2080S0012X · Licence 77233 (WI) |
| Pediatric Sleep Medicine Physician | Taxonomy 2080S0012X · Licence MD61145727 (WA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1548766835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 4, 2018 |
| Last updated in NPPES | May 19, 2024 |
| Certification date | May 19, 2024 |
| Mailing address | Po Box 190930, Boise, ID 83719-0930 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduated | 2018 (8 years in practice) |
| Group practice | Saint Alphonsus Regional Medical Center Inc — 673 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 7 on file with Medicare |