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MR. BLAINE HAVENS SA-C, TS-C
NPI 1750231403
Specialist/Technologist, Other - Surgical Assistant in Laurel, MD

Active since February 02, 2026
14320 W SIDE BLVD APT 303, LAUREL, MD 20707(440) 941-7716 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mr. Blaine Havens Sa-c, Ts-c NPPES

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

MR. BLAINE HAVENS SA-C, TS-C (NPI 1750231403) is an individual surgical assistant in Laurel, Maryland, licensed in Maryland (26-125) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1750231403
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMR. BLAINE HAVENSCredential: SA-C, TS-C
Location Address14320 W SIDE BLVD APT 303Laurel, MD 20707-6260
Mailing Address14320 W Side Blvd Apt 303Laurel, MD 20707-6260 · (440) 941-7716
Phone(440) 941-7716
Sole ProprietorYes
Enumeration DateFebruary 2, 2026
NPPES CertifiedFebruary 2, 2026
✔ NPI 1750231403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in MD · 26-125
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
14320 W SIDE BLVD APT 303, Laurel, MD 20707
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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 Blaine Havens's NPI number?

The NPI number for Blaine Havens is 1750231403. It was assigned to this individual provider in the NPPES registry on February 2, 2026.

Where is Blaine Havens located?

Blaine Havens practices at 14320 W Side Blvd Apt 303, Laurel, MD 20707. The listed phone number is (440) 941-7716.

What is Blaine Havens's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Blaine Havens was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.