STEPHEN REAGOR BLAIR (NPI# 1164434353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164434353 |
| Entity Type | Individual |
| Full Name | STEPHEN REAGOR BLAIR |
| Credential | MD |
| Practice Address |
805 Saint Vincents Dr Suite 430 Birmingham AL 35205-1636 |
| Practice Telephone | 2059391250 |
| Practice Fax Number | 2059391349 |
| Mailing Telephone | 2059391250 |
| Mailing Fax Number | 2059391349 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2013-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 9600 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PROVIDER ID | 4005942 | 01 | |
| FEDERAL TAX ID | 631061517 | 01 | |
| AL | BLUE CROSS PROVIDER # | 51087303 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285722009 | Stephen H. Blair IIi | Dentist | 3127 N. Shiloh Road, Corinth, MS 38834-2910 | 2006-10-10 |
| 1992730311 | Stephen Joseph Blair | Family Medicine | 400 Southborough Dr, South Portland, ME 04106-3249 | 2006-07-12 |
| 1962404244 | Stephen D Blair | Family Medicine | 100 W Dean Keeton St, Austin, TX 78712-1091 | 2005-06-01 |
| 1205169976 | Stephen Clyde Blair | Physician Assistant | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2009-09-14 |
| 1831140763 | Stephen Brian Blair | Pharmacy Technician | 1217 E 10th Ave, Anchorage, AK 99501-4003 | 2006-05-15 |
| Street Address |
805 SAINT VINCENTS DR SUITE 430 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910736 | James H Crenshaw | Internal Medicine | 805 Saint Vincents Dr, Suite 510, Birmingham, AL 35205-1636 | 2005-05-27 |
| 1821578998 | Anna Black Medley | Specialist/Technologist | 805 Saint Vincents Dr, Birmingham, AL 35205-1636 | 2018-08-17 |
| 1376091892 | Daryl Lacey Flanagan | Physician Assistant | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2016-09-13 |
| 1295189942 | Katherine Tanguay | Specialist/Technologist | 805 Saint Vincents Dr, Suite G100, Birmingham, AL 35205-1636 | 2016-04-19 |
| 1578921581 | Stv Sports Medicine and Orthopedics, LLC | Orthopaedic Surgery | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2016-02-04 |
| 1467818575 | Stv Sports Medicine & Orthopedics LLC | Durable Medical Equipment & Medical Supplies | 805 Saint Vincents Dr, Ste 100, Birmingham, AL 35205-1636 | 2016-01-05 |
| 1629455266 | Rebecca Leigh Curtis | Specialist/Technologist | 805 Saint Vincents Dr, G-100, Birmingham, AL 35205-1636 | 2015-05-04 |
| 1912393802 | Heather Greer | Nurse Practitioner | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2015-04-08 |
| 1730578295 | Rehab Associates, LLC | Clinic/Center | 805 Saint Vincents Dr, Suite A, Birmingham, AL 35205-1636 | 2015-01-21 |
| 1639578289 | Natalia Beatriz Grenett | Physician Assistant | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2014-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518488253 | Ananya Manchikalapati | Pediatrics | 1600 5th Ave S Ste 102, Birmingham, AL 35233-1700 | 2017-07-03 |
| 1194254490 | Maggie Lawrence | Pediatrics | 1601 7th Ave S, Birmingham, AL 35233-1710 | 2017-06-08 |
| 1154855807 | Margaret Elaine Wester | Pediatrics | 1600 7th Ave S Fl 4, Birmingham, AL 35233-1711 | 2017-04-19 |
| 1477085629 | Abbey Rocco | Pediatrics | 1600 7th Ave S Bldg Suite512, Birmingham, AL 35233-1711 | 2017-03-28 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1649666785 | Stephen T Clark | Pediatrics | 1700 6th Ave S # Wic9100, Birmingham, AL 35233 | 2015-04-14 |
| 1407242712 | James Raphael Statler | Pediatrics | 1600 7th Ave S # 110, Birmingham, AL 35233-1711 | 2015-04-13 |
| 1376954271 | Rona Lynzee Head | Pediatrics | 1600 7th Ave S Ste 210, Birmingham, AL 35233 | 2014-05-13 |
| 1992140784 | Erica Christen Bjornstad | Pediatrics | 1600 7th Ave S # 516, Birmingham, AL 35233 | 2013-05-07 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
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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.