WALTER B. BLAIR,M.D., INC (NPI# 1528330800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528330800 |
| Entity Type | Organization |
| Organization Name | WALTER B. BLAIR,M.D., INC |
| Practice Address |
5115 Bernard Dr Suite 101 Roanoke VA 24018-4357 |
| Practice Telephone | 5407745861 |
| Practice Fax Number | 5407769969 |
| Mailing Telephone | 5407745861 |
| Mailing Fax Number | 5407769969 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | DR. WALTER B. BLAIR (SOLE OWNER) |
| Authorized Official Telephone | 5407745861 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0101022440 | VA | Ambulatory Health Care Facilities |
| Street Address |
5115 BERNARD DR SUITE 101 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437140571 | Daniel K Janyja | Anesthesiology | 5115 Bernard Dr, Suite 201, Roanoke, VA 24018-4357 | 2005-10-28 |
| 1497175608 | Samuel Hamner Gay | Anesthesiology | 5115 Bernard Dr, Roanoke, VA 24018-4357 | 2014-04-27 |
| 1720404841 | Mountain Psychiatric, LLC | Psychiatry & Neurology | 5115 Bernard Dr, Suite 105, Roanoke, VA 24018-4357 | 2014-03-13 |
| 1396173084 | Encompass Home Health of The Mid Atlantic, LLC | Home Health | 5115 Bernard Dr, Suite 205, Roanoke, VA 24018-4357 | 2013-10-16 |
| 1215363072 | Southern Home Care Services, Inc. | Home Health | 5115 Bernard Dr, Suite 103, Roanoke, VA 24018-4357 | 2013-09-24 |
| 1790055853 | Southern Home Care Services, Inc. | In Home Supportive Care | 5115 Bernard Dr, Suite 103, Roanoke, VA 24018-4357 | 2012-01-06 |
| 1780978981 | Sarah Nie | Anesthesiology | 5115 Bernard Dr, Suite 201, Roanoke, VA 24018-4357 | 2011-06-06 |
| 1861712564 | Julie Ann Joseph | Anesthesiology | 5115 Bernard Dr, Suite 201, Roanoke, VA 24018-4357 | 2010-06-03 |
| 1316263262 | Kimberly Kristin Augustyn Wheeler | Anesthesiology | 5115 Bernard Dr, Suite 201, Roanoke, VA 24018-4357 | 2010-04-18 |
| 1881927259 | Acv Inc | Anesthesiology | 5115 Bernard Dr, Suite 201, Roanoke, VA 24018-4357 | 2009-09-16 |
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|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1225364243 | Braley & Thompson | Clinic/Center | 2965 Colonnade Dr, Suite 130, Roanoke, VA 24018-3557 | 2009-10-27 |
| 1144277237 | Carilion Behavioral Health, Inc | Clinic/Center | 213 S Jefferson St, Suite 801, Roanoke, VA 24011-1705 | 2006-05-27 |
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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.