DR. MICHAEL MONTGOMERY BLAIR (NPI# 1104037100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104037100 |
Entity Type | Individual |
Full Name | DR. MICHAEL MONTGOMERY BLAIR |
Credential | D.O. |
Practice Address |
1340 Wonder World Dr Ste 4031 San Marcos TX 78666-7598 |
Practice Telephone | 5123536400 |
Mailing Telephone | 5123536400 |
Enumeration Date | 2007-05-24 |
Last Update Date | 2011-08-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
P0551 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063625481 | Michael Evan Blair | Marriage & Family Therapist | 90 North Main, Sterling, UT 84665 | 2007-05-08 |
1609990530 | Michael Lee Blair | Psychologist | 2509 Ne Hunters Walk Trl, Blue Springs, MO 64014-6503 | 2007-03-17 |
1215997184 | Michael P Blair | Physical Therapist | 6035 Burke Centre Pkwy, #300, Burke, VA 22015-3750 | 2006-03-24 |
1699391813 | Michael Blair | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2020-06-23 |
1447608286 | Michael Andrew Blair | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2016-06-02 |
1154724979 | Michael T. Blair | Physical Medicine & Rehabilitation | 10518 Spotsylvania Ave Ste 100, Fredericksburg, VA 22408-2693 | 2014-10-07 |
1780001727 | Michael Paul Blair | Physical Therapist | 1000 Greg Kruschek Ave, Nome, AK 98762 | 2014-03-27 |
1487820502 | Michael Arthur Blair | Pediatrics | 119 White Horse Pike, Haddon Heights, NJ 08035-1909 | 2008-05-08 |
1104949841 | Michael Alan Blair | Ophthalmology | 801 W Randol Mill Rd Ste 201, Arlington, TX 76012-2505 | 2007-04-09 |
1619017894 | Michael Ray Blair | Counselor | 4400 Presidential Pl Ne, Suite C, Albuquerque, NM 87109-3442 | 2007-02-07 |
Street Address |
1340 WONDER WORLD DR STE 4031 |
City | SAN MARCOS |
State | TX |
Zip Code | 78666-7598 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
Find all providers in zip 78666 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609484120 | John R. Gilmore, M.d. | Otolaryngology | 10740 N Central Expy Ste 120, Dallas, TX 75231-2162 | 2020-07-21 |
1154887636 | Sinus Surgery Throat Allergy Clinic | Otolaryngology | 1200 Binz St Ste 1020, Houston, TX 77004-6946 | 2019-02-20 |
1487199360 | Texas Facial Aesthetics, Pllc | Otolaryngology | 6371 Preston Rd., Suite 100, Frisco, TX 75034 | 2016-12-30 |
1720446685 | Reconstructive Associates of Houston Pllc | Otolaryngology | 4126 Southwest Fwy Ste 275, Houston, TX 77027-7310 | 2016-02-08 |
1255741013 | Melissa E Bender | Otolaryngology | 2745 Bee Caves Rd Ste 101, Austin, TX 78746-6009 | 2014-05-02 |
1063763910 | Alan I Zane | Otolaryngology | 42 E Bend Ln, Houston, TX 77007-7024 | 2012-10-01 |
1043570195 | Serenity Facial Plastics & Rhinology, P.a. | Otolaryngology | 13215 Dotson Rd Ste 140, Houston, TX 77070-4535 | 2012-05-23 |
1013193895 | Etai Funk | Otolaryngology | 952 Echo Ln Ste 140, Houston, TX 77024 | 2008-01-11 |
1174736672 | Denis K. Hoasjoe Md Pa | Otolaryngology | 4301 Garth Rd Ste 216, Baytown, TX 77521-3158 | 2007-05-08 |
1588780159 | Bradford Bader | Otolaryngology | 3310 Dallas Pkwy Ste 201, Plano, TX 75093-7712 | 2007-03-22 |
Find all providers with the same taxonomy |
City | SAN MARCOS |
Zip Code | 78666 |
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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.