THOMAS P BLODGETT, MD — NPI 1619059516 (Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) in BIDWELL, OH)

CMS-1500 Box 24J / 33a • NPI

1619059516

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207NS0135X (CMS 07)

Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)

Box 32 Service Location & ZIP+4

39 HIDDEN VALLEY DR, BIDWELL, OH, 45614-9591

✓ 9-Digit EDI 837 ZIP+4 (45614-9591)

Practice Phone & Referral Fax

(740) 446-7623

Fax: (740) 446-7643

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619059516 (THOMAS P BLODGETT, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619059516` (NPI-1 Individual Practitioner)
Provider / Legal Name	THOMAS P BLODGETT, MD
Plain-English Specialty	Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) NUCC Code: `207NS0135X` (Dermatology, Procedural Dermatology)
Certifying / Licensing Body	American Board of Dermatology (ABD)
Practice Location Address	39 HIDDEN VALLEY DR, BIDWELL, OH, 45614-9591
Practice Telephone / Fax	Tel: (740) 446-7623 \| Fax: (740) 446-7643
Administrative Mailing Address	39 HIDDEN VALLEY DR, BIDWELL, OH, 45614-9591
Enumeration & Last Sync	Enumerated: 2006-10-19 \| CMS Record Updated: 2010-04-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

39 HIDDEN VALLEY DR, BIDWELL, OH, 45614-9591

🗺️ Open in Google Maps 🏥 More Providers in BIDWELL

🔒 Are you THOMAS P BLODGETT, MD? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (207NS0135X)

What Does Taxonomy Code 207NS0135X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207NS0135X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 07 (Physician/Dermatology)
Certifying / Accrediting Authority: American Board of Dermatology (ABD)
Clinical Scope: Changing moles, skin rashes, severe acne, eczema, psoriasis, fungal infections, hair loss, or skin cancer checks.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (THOMAS P BLODGETT, MD)

Typical CPT / Diagnostic Procedures:

Full-Body Dermoscopy & Skin Cancer Screening
Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)

Common Therapeutic Classes:

Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207NS0135X` — Dermatology, Procedural Dermatology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: OH \| License: `35073950B` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

THOMAS P BLODGETT, MD (NPI #1619059516)