GORDON T BLAIR (NPI# 1467473249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467473249 |
| Entity Type | Individual |
| Full Name | GORDON T BLAIR |
| Credential | MD |
| Practice Address |
3260 Hospital Dr Juneau AK 99801 |
| Practice Telephone | 9077968631 |
| Practice Fax Number | 9077968455 |
| Mailing Telephone | 9077968631 |
| Mailing Fax Number | 9077968455 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
3015 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD3015 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
| 1275633893 | Gordon R Blair | Nurse Practitioner | 1701 Main Ave Sw, Suite A, Cullman, AL 35055-5299 | 2006-09-24 |
| Street Address |
3260 HOSPITAL DR |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778290 | Steven T Strickler | Radiology | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2005-05-27 |
| 1649886516 | Shalis Stinson | Registered Nurse | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2020-09-16 |
| 1316562523 | Sarah Zaglifa | Social Worker | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2020-06-12 |
| 1003439704 | Cailey Ann Neary | Registered Nurse | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2020-05-28 |
| 1922632827 | Nicole Marie Tice | Behavior Technician | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2020-02-28 |
| 1477187375 | Lurline Aliki | Behavior Technician | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2020-02-28 |
| 1619512555 | Dorothy Lynn Squires | Counselor | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-11-14 |
| 1508400896 | Brandon Kay Eubanks | Counselor | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-10-30 |
| 1720620180 | Dolores White | Psychiatric Unit | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-10-16 |
| 1114569829 | Anna Bullock | Social Worker | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508300070 | Juneau Ultrasound, LLC | Radiology | 2810 Fritz Cove Rd, Juneau, AK 99801 | 2016-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225218209 | Real Time II LLC | Radiology | 1700 E Bogard Rd # 101, Wasilla, AK 99654-6563 | 2007-11-07 |
| 1871636514 | Alaska Fetal Imaging, LLC | Radiology | 4050 Lk. Otis Pkwy, Ste 100-a, Ankorage, AK 99508 | 2007-02-14 |
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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.