BLYNN L SHIDELER MD PC
NPI 1497953921
Surgery in Monterey, CA

Active since July 05, 2007
5 LOWER RAGSDALE DR, SUITE 101, MONTEREY, CA 93940(425) 996-1001(206) 600-5033 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blynn L Shideler Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLYNN L SHIDELER MD PC (NPI 1497953921) is a healthcare organization registered as a surgery in Monterey, California and active in the NPI registry since July 2007. The organization lists Blynn L Shideler, President, as its authorized official.

NPPES Registry Identity

NPI1497953921
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBLYNN L SHIDELER MD PC
Location Address5 LOWER RAGSDALE DR, SUITE 101Monterey, CA 93940-5817
Mailing Address1420 Nw Gilman Blvd, Suite 2 2786Issaquah, WA 98027-5394
Fax(206) 600-5033
Organization SubpartNo
Authorized OfficialBlynn L ShidelerPresident · (425) 996-1001
Enumeration DateJuly 5, 2007
Last NPPES UpdateMarch 4, 2008
NPI 1497953921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in CA · G23099 Licensed in WA · MD00045810
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

5 LOWER RAGSDALE DR, Monterey, CA 93940

Other Identifiers 5

Other1265524912Npi For Individual
Medicaid9670018CA
Medicare UPINA41852CA
Medicare UPINZZZ06491ZCA
Medicare ID-Type Unspecified00G230990CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
5 LOWER RAGSDALE DR
MONTEREY, CA 93940
Home Health
5 LOWER RAGSDALE DR
MONTEREY, CA 93940
Home Health
5 LOWER RAGSDALE DR
MONTEREY, CA 93940
Internal Medicine
5 LOWER RAGSDALE DR
MONTEREY, CA 93940
Internal Medicine (Interventional Cardiology)
5 LOWER RAGSDALE DR, #102
MONTEREY, CA 93940
Family Medicine
5 LOWER RAGSDALE DR, 100
MONTEREY, CA 93940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blynn L Shideler MD PC's NPI number?

The NPI number for Blynn L Shideler MD PC is 1497953921. It was assigned to this organization in the NPPES registry on July 5, 2007.

Where is Blynn L Shideler MD PC located?

Blynn L Shideler MD PC is located at 5 Lower Ragsdale Dr Suite 101, Monterey, CA 93940. The listed phone number is (425) 996-1001.

What is Blynn L Shideler MD PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Blynn L Shideler MD PC was last updated on March 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.