DR. JONATHAN BLAU (NPI# 1942260567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942260567 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN BLAU |
| Credential | M.D. |
| Practice Address |
2737 S Broadway Ave Tyler TX 75701 |
| Mailing Address |
Po Box 6605 Tyler TX 75711-6605 |
| Practice Telephone | 9035926000 |
| Practice Fax Number | 9035923224 |
| Mailing Telephone | 9035926000 |
| Mailing Fax Number | 9035923224 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2019-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
J7721 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396066619 | Jonathan Michael Blau | Orthopaedic Surgery | 16311 Ventura Blvd Ste 1150, Encino, CA 91436-4386 | 2010-06-22 |
| 1316141161 | Jonathan A Blau | Pediatrics | 475 Seaview Ave, Dept. of Pediatrics, Staten Island, NY 10305-3436 | 2007-06-14 |
| Street Address |
2737 S BROADWAY AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071527 | Mark A Hackbarth | Anesthesiology | 2737 S Broadway Ave, Tyler, TX 75701 | 2005-05-24 |
| 1194216994 | Leslie Karen Partlow | Nurse Practitioner | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2018-05-29 |
| 1134633266 | Wendy Prewett | Nurse Practitioner | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2017-11-28 |
| 1871044115 | Travis Squyres | Nurse Practitioner | 2737 S Broadway Ave, Tyler, TX 75701 | 2016-10-21 |
| 1881076891 | Preston Harmon | Emergency Medicine | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2015-06-25 |
| 1427447580 | Ruben Benjamin Delarosa | Physician Assistant | 2737 S Broadway Ave, Tyler, TX 75701 | 2015-01-13 |
| 1346670726 | Charles R Gordon Md Pa | Pharmacy | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2013-11-20 |
| 1437581055 | Edward Lee Poe | Counselor | 2737 S Broadway Ave, Suite 206, Tyler, TX 75701-5413 | 2013-08-06 |
| 1265670749 | Ellisiv Lien | Physical Medicine & Rehabilitation | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2009-01-22 |
| 1023276466 | James Alan Muns | Neurological Surgery | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2008-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114953767 | Carefirst Medical Associates and Pain Rehabilitation, Pa | Physical Medicine & Rehabilitation | 13027 State Highway 155 S, Tyler, TX 75703-6548 | 2006-06-24 |
| 1073653820 | Jonathan Blau Md Pa | Physical Medicine & Rehabilitation | 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4234 | 2007-02-08 |
| 1790883239 | Barbara Jean Sigal | Physical Medicine & Rehabilitation | 820 S Baxter Ave, Tyler, TX 75701-2225 | 2006-09-20 |
| 1831192277 | Scott Joseph Lamb | Physical Medicine & Rehabilitation | 700 Olympic Plaza Cir, Tyler, TX 75701-1951 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314700 | Texas P&a LLC | Physical Medicine & Rehabilitation | 400 S Zang Blvd Ste 1210, Dallas, TX 75208-6624 | 2020-10-23 |
| 1598300386 | Ppsm Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1700, Houston, TX 77027-7317 | 2019-11-15 |
| 1942844634 | Bioprorestore LLC | Physical Medicine & Rehabilitation | 3275 College Park Dr, The Woodlands, TX 77384-4501 | 2019-11-05 |
| 1619511300 | South Garland Medical Pllc | Physical Medicine & Rehabilitation | 1301 Northwest Hwy Ste 209, Garland, TX 75041-5896 | 2019-11-05 |
| 1295389492 | Complete Pain Solutions | Physical Medicine & Rehabilitation | 1241 Campbell Rd, Houston, TX 77055-6453 | 2019-07-26 |
| 1063998706 | Advanced Rehab Medicine, Pllc | Physical Medicine & Rehabilitation | 9119 Hwy 6, Suite 230, #127, Missouri City, TX 77479 | 2018-07-16 |
| 1265922876 | Occmed Centers of El Paso, Pa | Physical Medicine & Rehabilitation | 311 Camino Estancias, El Paso, TX 79912-3424 | 2018-05-18 |
| 1710475801 | Performance Pain and Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1300, Houston, TX 77027-7310 | 2018-04-25 |
| 1275037574 | Rdt Technologies LLC | Physical Medicine & Rehabilitation | 3701 S Cooper St Ste 161, Arlington, TX 76015-3466 | 2018-03-21 |
| 1437662145 | Dfw Pain Institute Pllc | Physical Medicine & Rehabilitation | 14908 Devonshire Ln, Frisco, TX 75035-0648 | 2017-11-16 |
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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.