DR. MICHAEL ANDREW BLAIR (NPI# 1447608286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447608286 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANDREW BLAIR |
| Credential | D.O. |
| Practice Address |
718 N Macomb St Monroe MI 48162-7815 |
| Mailing Address |
1043 Lake Grove Ave Se Grand Rapids MI 49506-3555 |
| Practice Telephone | 7342408400 |
| Mailing Telephone | 6164908269 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5101022509 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | OSTEOPATHIC - EDUCATIONAL LIMITED | 5101022509 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104037100 | Michael Montgomery Blair | Otolaryngology | 1340 Wonder World Dr Ste 4031, San Marcos, TX 78666-7598 | 2007-05-24 |
| 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 |
| 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 |
718 N MACOMB ST |
| City | MONROE |
| State | MI |
| Zip Code | 48162-7815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781300 | Mark D Sherrard | Family Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2005-06-28 |
| 1841801222 | Vijaya Lakshmi Lakshmi Thotakura | Physician Assistant | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-08-11 |
| 1952928467 | Edwin David | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-30 |
| 1255957494 | Nicole Philippon | Nurse Practitioner | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-23 |
| 1407471451 | Joseph Hoeksema | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-15 |
| 1366067779 | Megan Wolbers | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-11 |
| 1598380909 | Himat Singh Gill | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-11 |
| 1659996221 | Nathaniel Lucey | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-10 |
| 1497370068 | Krysten Hinton | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-10 |
| 1598380123 | Paul Van Truong | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790161396 | Medexpress Urgent Care, PC - Michigan | Emergency Medicine | 1261 N Telegraph Rd, Monroe, MI 48162-3368 | 2015-08-05 |
| 1497169171 | Leyda Hu | Emergency Medicine | 927 N Macomb St Apt 6c, Monroe, MI 48162-3069 | 2014-06-20 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1083995468 | Five Star Medical Care Pllc | Emergency Medicine | 5 Carter Ln, Unit#111, Monroe, NY 10950-6230 | 2011-08-30 |
| 1134448756 | Carl Christopher Musgrove | Emergency Medicine | 3721 Tilford Cir, Monroe, LA 71201-2067 | 2010-05-21 |
| 1427281013 | James S Chan | Emergency Medicine | 262 N Man St Advantage Care Na LLC Dba Monroe Urgent Ca, Monroe, OH 45050 | 2009-08-28 |
| 1619062163 | Daniel Alec Heinen | Emergency Medicine | 718 N. Macomb Street, Monroe, MI 48162 | 2006-10-03 |
| 1790728228 | Norman Boyd Williams | Emergency Medicine | 2408 Broadmoor Blvd, Suite B, Monroe, LA 71201-2994 | 2006-06-13 |
| 1467491795 | Richard Arriviello Jr. | Emergency Medicine | 3007 Wesley Chapel Stouts Rd Ste B, Monroe, NC 28110-4008 | 2006-06-05 |
| 1700824711 | Lee Feierabend | Emergency Medicine | 1007 Hilton St, Monroe, LA 71201-4317 | 2006-06-02 |
| Find all providers in MONROE | ||||
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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.