MICHELE M BLAIR


Address: 11970 Prince Charles Ct, Cape Coral, FL 33991-7507
Phone: 2394628948

MICHELE M BLAIR (NPI# 1639126931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639126931
Entity Type Individual
Full Name MICHELE M BLAIR
Credential DO
Practice Address 11970 Prince Charles Ct
Cape Coral
FL 33991-7507
Practice Telephone 2394628948
Mailing Telephone 2394628948
Enumeration Date 2006-05-30
Last Update Date 2015-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
OS9069 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 273116900 05
FL FLORIDA LICENSE OS9069 01
BCBS 16149 01

Other Providers MICHELE BLAIR

NPI Name Taxonomy Address Enumeration
1992219554 Michele Blair Marriage & Family Therapist 11980 San Vicente Blvd Ste 612, Los Angeles, CA 90049-6604 2017-11-18
1073055901 Michele Deann Blair Nurse Practitioner 10015 Main St, Whitesville, KY 42378-9557 2016-11-09
1003973975 Michele C. Blair Social Worker 223 S Main St, Cape May Court House, NJ 08210-2240 2007-01-02

Office Location

Street Address 11970 PRINCE CHARLES CT
City CAPE CORAL
State FL
Zip Code 33991-7507

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376182923 Radiology Imaging Specialists LLC Radiology 1203 Se 8th Ave, Cape Coral, FL 33990-2121 2019-12-31
1598758674 Lmr Imaging Radiology 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 2005-08-24
1356711329 Rx Imaging of Swfl LLC Radiology 506 Se 47th Ter, Suite A, Cape Coral, FL 33904-8517 2015-10-02
1124029152 Joseph G Bucknavage Radiology 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 2005-08-01

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Competitor

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City CAPE CORAL
Zip Code 33991

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Dataset Information

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.

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