TARLTON J BLAIR (NPI# 1477655181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477655181 |
| Entity Type | Individual |
| Full Name | TARLTON J BLAIR |
| Credential | MD |
| Practice Address |
1055 N 500 W Suite 102 Building C Provo UT 84604-3305 |
| Practice Telephone | 8013742367 |
| Practice Fax Number | 8014290600 |
| Mailing Telephone | 8013742367 |
| Mailing Fax Number | 8014290600 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2014-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
1731971205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | EMIA | 870281028BTJ | 01 |
| UT | ALTIUS | QM0000042299 | 01 |
| UT | DMBA | 36531 | 01 |
| UT | IHC | 107006675102 | 01 |
| UT | UNITED HEALTHCARE | 36-00170 | 01 |
| UT | 870281028000 | 05 | |
| UT | PALMETTO | 920006303 | 01 |
| UT | PEHP | 62165 | 01 |
| Street Address |
1055 N 500 W SUITE 102 BUILDING C |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223835 | Bruce C Mcallister | Specialist | 1055 N 500 W, Suite 102, Provo, UT 84604-3305 | 2005-05-27 |
| 1922641448 | Lilian Silva Dana | Nurse Practitioner | 1055 N 500 W, Suite. 222, Bldg. C, Provo, UT 84604 | 2019-10-28 |
| 1407373574 | Kristie Christensen | Nurse Practitioner | 1055 N 500 W, Ste 101, Bldg C, Provo, UT 84604-3305 | 2017-08-29 |
| 1942664867 | Holly Ann Bishop Michaels | Dietitian, Registered | 1055 N 500 W, Attn. Credentialing, Provo, UT 84604-3305 | 2016-04-06 |
| 1841650967 | Maile Yuzon | Physician Assistant | 1055 N 500 W, Ste 212, Provo, UT 84604-3305 | 2016-03-02 |
| 1497127658 | Kayla Hamrick Lussier | Nurse Practitioner | 1055 N 500 W, Suite 212, Provo, UT 84604-3305 | 2015-10-28 |
| 1962873281 | Ryan Francis | Nurse Practitioner | 1055 N 500 W, Ste 121, Provo, UT 84604-3305 | 2015-10-13 |
| 1083082283 | Leslee Ronald Adams | Registered Nurse | 1055 N 500 W, Ste 211, Provo, UT 84604-3305 | 2015-09-04 |
| 1750763629 | Cydne Suzannah Baird Evans | Physician Assistant | 1055 N 500 W, Ste 100, Provo, UT 84604-3305 | 2015-06-26 |
| 1073903720 | Rosanne Johnson Oliver | Nurse Practitioner | 1055 N 500 W, Ste 205, Provo, UT 84604-3305 | 2015-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205020815 | Richard C Brown | Radiology | 1055 N 500 W, Suite 102, Provo, UT 84604-3305 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902101892 | Chun Il Mah | Radiology | 4218 Sunrise Dr, Eden, UT 84310-6764 | 2011-01-24 |
| 1578864476 | Cleo E Dymott | Radiology | 4926 Quail Ln, Ogden, UT 84403-4436 | 2010-11-08 |
| 1194905752 | Thomas B. Skidmore | Radiology | 1250 E 3900 S Ste 10, Salt Lake City, UT 84124-1354 | 2007-11-11 |
| 1295959724 | James W Clarke | Radiology | 700 W 800 N Ste 140, Orem, UT 84057-6301 | 2007-04-13 |
| 1952524266 | Benita Kruzel | Radiology | 313 Painted Hills Dr, Ivins, UT 84738-6082 | 2007-04-11 |
| 1386724292 | Ying Jia Hitchcock | Radiology | 1950 Cicle of Hope, Salt Lake City, UT 84112 | 2006-10-16 |
| 1366534653 | Amy Amalia Strowbridge | Radiology | 6440 South Millrock Drive Suite 175, Comphealth, Salt Lake City, UT 84121 | 2006-09-28 |
| 1881612927 | William Thomas Sause | Radiology | 8th Avenue and C St, Salt Lake City, UT 84143-0001 | 2006-07-17 |
| 1972557882 | Kristine Elizabeth Kokeny | Radiology | 1950 East Circle of Hope, Ste. 1570, Salt Lake City, UT 84112-5550 | 2006-05-22 |
| 1952369829 | Gene Kopelson | Radiology | 675 E 2100 S, Suite 390, Salt Lake City, UT 84106-1887 | 2006-05-02 |
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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.