BLAINE P. ANDERSEN MD – NPI #1538279609
Plastic Surgery

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

BLAINE ANDERSEN is a plastic surgeon located in LOGAN, UT. NPPES has assigned the NPI number 1538279609 to BLAINE ANDERSEN on August 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2082S0105X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Surgery of the Hand

The NPI profile was previously updated about 10 years ago on Nov 10, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLAINE ANDERSEN below.

NPI Profile for
BLAINE P. ANDERSEN

NPI Number
1538279609
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BLAINE P. ANDERSEN
Credentials
MD
Primary location
1300 N 500 E
#260
LOGAN, UT 84341-2408
Phone: (435) 753-3400 Fax: (435) 787-8887
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for BLAINE ANDERSEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID003052200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2082S0105X
- Plastic Surgery / Surgery of the Hand (Primary)
UT 1788168905
208200000X
- Plastic Surgery
UT 1788161205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.