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

Mr. Blaine Havens, SA-C, TS-C

Individual provider Surgical Assistant · NPI 1750231403

Mr. Blaine Havens, SA-C, TS-C is a Surgical Assistant in Laurel, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

14320 W Side Blvd Apt 303
Laurel, MD 20707-6260
Phone: (440) 941-7716
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 26-125 (MD)

Record details

NPI number1750231403
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C , TS-C
Sole proprietorYes
NPI enumeratedFebruary 2, 2026
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

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