DR. MICHAEL MONTGOMERY BLAIR


Address: 1340 Wonder World Dr Ste 4031, San Marcos, TX 78666-7598
Phone: 5123536400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
P0551 TX Allopathic & Osteopathic Physicians

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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

Office Location

Street Address 1340 WONDER WORLD DR STE 4031
City SAN MARCOS
State TX
Zip Code 78666-7598

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207YX0905X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngology/Facial Plastic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City SAN MARCOS
Zip Code 78666

Improve Information

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Dataset Information

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.

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