AMANDA SUSON BLAIR (NPI# 1295986388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295986388 |
| Entity Type | Individual |
| Full Name | AMANDA SUSON BLAIR |
| Credential | D.P.T, |
| Practice Address |
1458 Hensley Farm Rd Marshall AR 72650-8672 |
| Practice Telephone | 8704486232 |
| Mailing Telephone | 8704486232 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | PT 3102 | AR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124483102 | Amanda Blair | Counselor | 202 N Pear St, Searcy, AR 72143-5273 | 2015-12-17 |
| 1679056162 | Amanda Blair | Behavior Technician | 2760 Fieldstone Rd, Colorado Springs, CO 80919-3100 | 2018-09-11 |
| 1962992891 | Amanda Mary Blair | Behavior Technician | 428 E Thunderbird Rd Ste 138, Phoenix, AZ 85022-5229 | 2018-05-16 |
| 1093230096 | Amanda E Blair | Social Worker | 112 Innwood Dr, Covington, LA 70433-9134 | 2017-08-10 |
| 1992188668 | Amanda Christine Blair | Emergency Medicine | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2015-06-30 |
| 1942619291 | Amanda R Blair | Nurse Practitioner | 1250 E Marshall St, Internal Medicine, Richmond, VA 23298-5051 | 2014-08-11 |
| 1215155197 | Amanda B Blair | Pediatrics | 4800 Sand Point Way Ne, M/s Mb.8.501, Seattle, WA 98105-3901 | 2007-04-23 |
| Street Address |
1458 HENSLEY FARM RD |
| City | MARSHALL |
| State | AR |
| Zip Code | 72650-8672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124254255 | Keshia Grinder | Counselor | 316 Hwy 65 N, Marshall, AR 72650 | 2009-06-03 |
| 1629214150 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 200 E Main Street, Marshall, AR 72650 | 2009-01-06 |
| 1649466178 | Andrea Lea Mccallister | Occupational Therapist | 201 West College St, Searay County School District, Marshall, AR 72650 | 2007-09-18 |
| 1841405040 | Highland Court, LLC | Skilled Nursing Facility | 100 South Cedar St, Marshall, AR 72650 | 2007-05-11 |
| 1770701690 | Carylene Gentry | Optometrist | 303 E. Main St., Marshall, AR 72650 | 2007-04-23 |
| 1790815827 | Jeri A White | Registered Nurse | 316 Hwy 65 North, Marshall, AR 72650 | 2007-03-07 |
| 1992848493 | Marshall Medic Pharmacy, Inc. | Pharmacy | 243 Hwy 65 North, Marshall, AR 72650 | 2007-02-14 |
| 1912057118 | Marshall Family Eyecare | Optometrist | 303 E. Main, Marshall, AR 72650 | 2007-01-11 |
| 1609947068 | Michael Baker Pharmacy, Inc. | Pharmacy | 101 W. Main St., Marshall, AR 72650 | 2006-11-10 |
| 1679658637 | White River Health System | Skilled Nursing Facility | 100 South Cedar, Marshall, AR 72650 | 2006-10-26 |
| Find all providers in zip 72650 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932628229 | Kaleb J Holliman | Military Health Care Provider | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2017-09-18 |
| 1881129153 | Jacob Mckenzie | Military Health Care Provider | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2017-04-25 |
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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.