DR. TIMOTHY JAMES BLAIR (NPI# 1093743114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093743114 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JAMES BLAIR |
| Credential | M.D. |
| Practice Address |
701 Broad Street Suite 2 Keosauqua IA 52565 |
| Mailing Address |
701 Broad Street Suite 2 P.o. Box 7 Keosauqua IA 52565 |
| Practice Telephone | 3192937771 |
| Practice Fax Number | 8668949687 |
| Mailing Telephone | 3192937771 |
| Mailing Fax Number | 8668949687 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2012-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 27840 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891101689 | Timothy R Blair Sr. | Nurse Practitioner | 418 West Madison, Liberty Medical Center Clinic, Chester, MT 59522 | 2014-07-01 |
| 1346891363 | Timothy Blair | Behavior Technician | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2019-09-20 |
| 1659469682 | Timothy M Blair | Dentist | 500 Lentz Dr, Suite 90 A, Madison, TN 37115-5135 | 2006-10-11 |
| 1760456537 | Timothy P Blair | Internal Medicine | 3634 Cape Center Dr, Fayetteville, NC 28304 | 2006-02-16 |
| Street Address |
701 BROAD STREET SUITE 2 |
| City | KEOSAUQUA |
| State | IA |
| Zip Code | 52565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780924555 | Tim Blair Md Pllc | Family Medicine | 701 Broad Street, Suite 2, Keosauqua, IA 52565-8374 | 2013-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326327438 | Elizabeth Nell Cain | Nurse Practitioner | 307 Franklin Street, Keosauqua, IA 52565 | 2011-08-07 |
| 1750502449 | Gary Dean Debner | Physical Therapist | 18813 Hwy 1, Keosauqua, IA 52565 | 2007-05-01 |
| 1326269283 | Van Buren County Hospital | Ambulance | 304 Franklin Street, Keosauqua, IA 52565 | 2007-05-01 |
| 1609921857 | Radiology Associates of Ottumwa, P.C. | Radiology | Highway 1 North, Keosauqua, IA 52565 | 2007-01-25 |
| 1356325864 | Charles Arthur Handy | Dentist | 716 1st Street, Keosauqua, IA 52565 | 2005-11-30 |
| 1386720563 | County of Van Buren | Home Health | 905 Broad St Courthouse, Keosauqua, IA 52565-0514 | 2006-10-31 |
| 1821088485 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 819 Country Lane Rd, Keosauqua, IA 52565-1001 | 2005-10-25 |
| 1982082418 | Keosauqua Health Care Center LLC | Skilled Nursing Facility | 819 Country Lane Rd, Keosauqua, IA 52565-1001 | 2015-05-17 |
| 1013344191 | Aegis | Skilled Nursing Facility | 819 Country Lane Rd, Keosauqua, IA 52565-1001 | 2013-10-03 |
| 1487080297 | Aegis Therapies | Custodial Care Facility | 819 Country Lane Rd, Keosauqua, IA 52565-1001 | 2013-09-25 |
| Find all providers in zip 52565 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780924555 | Tim Blair Md Pllc | Family Medicine | 701 Broad Street, Suite 2, Keosauqua, IA 52565-8374 | 2013-02-15 |
| 1972758126 | Rebecca Bollin | Family Medicine | 304 Franklin St, Keosauqua, IA 52565-1164 | 2008-12-01 |
| 1932137049 | Matthew Arthur Manning | Family Medicine | 304 Franklin St, Keosauqua, IA 52565-1164 | 2006-06-29 |
| 1386680221 | Richard Dale Breckenridge | Family Medicine | 304 Franklin St, Keosauqua, IA 52565-1164 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779283 | Melinda Heverly | Family Medicine | 6343 Sutton Dr, Urbandale, IA 50322-8053 | 2020-10-31 |
| 1215536636 | Darcie Marie Cook | Family Medicine | 8285 Turkey Valley Ln, Dubuque, IA 52003-9749 | 2020-10-19 |
| 1740896828 | Lisa Marie Swanson | Family Medicine | 1609 N Ankeny Blvd # 200, Ankeny, IA 50023-4159 | 2020-09-23 |
| 1003421959 | Elizabeth Ann Myhr | Family Medicine | 2680 Ne 102nd Ave, Ankeny, IA 50021-9224 | 2020-09-08 |
| 1407465917 | Qv Urgent Care Ia Pllc | Family Medicine | 801 North Grand Avenue, Mt. Pleasant, IA 52641 | 2020-07-30 |
| 1871101246 | Des Moines Regenerative Medicine Pllc | Family Medicine | 5901 Westown Pkwy Ste 220, West Des Moines, IA 50266-8297 | 2020-07-21 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1689291411 | Katie Weigel | Family Medicine | 635 W Washington St, Winthrop, IA 50682-9356 | 2020-06-27 |
| 1760005110 | Barbra Ellen Faux | Family Medicine | 1007 W 3rd Ave Apt 115, Indianola, IA 50125-3172 | 2020-05-20 |
| 1235764424 | Amber Dawn Hartman | Family Medicine | 20671 42nd St, Anamosa, IA 52205-7735 | 2020-03-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.