BLYNN L SHIDELER (M.D., P.C.) – Surgery Physician, NPI 1265524912

BLYNN L SHIDELER (M.D., P.C.) is a healthcare provider. based in Issaquah, Washington. specializing in Surgery Physician. They hold the professional credentials M.D., P.C.. They hold a License No. G23099 (CA). The NPI Number for BLYNN L SHIDELER (M.D., P.C.) is 1265524912

Main info

Male
Name
BLYNN L SHIDELER (M.D., P.C.)
NPI
1265524912
Phone
(425) 996-1001
Address
1420 NW GILMAN BLVD
Enumeration Date
29 September 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for BLYNN L SHIDELER (M.D., P.C.)

  • Frankie’s Pizza - Issaquah, 1420, Northwest Gilman Boulevard, Issaquah, King County, Washington, 98027-5305, United States

    SUITE 2-2786

    ISSAQUAH, WA 980275394

    Phone: (425) 996-1001

    Fax: (206) 600-5033

    Type: Mailing

  • Hartnell Professional Center, 576, Hartnell Street, Monterey, Monterey County, California, 93940, United States

    SUITE 200

    MONTEREY, CA 939402833

    Phone: (425) 996-1001

    Fax: (206) 600-5033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98027)

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Reviews

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Frequently asked questions

Does BLYNN L SHIDELER (M.D., P.C.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BLYNN L SHIDELER (M.D., P.C.) uses 1265524912.
Does the file indicate BLYNN L SHIDELER (M.D., P.C.) is practicing under active NPI?
Directory data currently reports BLYNN L SHIDELER (M.D., P.C.) as active.
What is BLYNN L SHIDELER (M.D., P.C.)'s specialty?
The listing groups BLYNN L SHIDELER (M.D., P.C.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is BLYNN L SHIDELER (M.D., P.C.) based?
BLYNN L SHIDELER (M.D., P.C.) is tied to Issaquah, Washington in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.