{"npi":"1053377564","type":"NPI-1","status":"active","name":{"display":"Stephen Blazoff CRNA","other":[],"first":"STEPHEN","last":"BLAZOFF","middle":"MICHAEL","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"MI","license":"4704158453"}]},"addresses":[{"purpose":"LOCATION","street_1":"1500 E MEDICAL CENTER DR","city":"ANN ARBOR","state":"MI","postal_code":"481095000","country_code":"US","phone":"7349364000"},{"purpose":"MAILING","street_1":"3621 S STATE ST","city":"ANN ARBOR","state":"MI","postal_code":"481081633","country_code":"US","phone":"7346475299"}],"license":{"state":"MI","number":"4704158453"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"104547540","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040207000137","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"MI","pac_id":"7416840822"}]},"enumeration_date":"2006-04-24","last_updated":"2020-01-28","_meta":{"source":"NPPES","snapshot_date":"2020-01-28","doc_url":"https://findmynpi.com/api"}}