STEPHEN D BLAIR (NPI# 1962404244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962404244 |
| Entity Type | Individual |
| Full Name | STEPHEN D BLAIR |
| Credential | MD |
| Practice Address |
100 W Dean Keeton St Austin TX 78712-1091 |
| Mailing Address |
100 W Dean Keeton St Ste 100 Austin TX 78712-1091 |
| Practice Telephone | 5124714955 |
| Mailing Telephone | 5124714955 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J8462 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 092383101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285722009 | Stephen H. Blair IIi | Dentist | 3127 N. Shiloh Road, Corinth, MS 38834-2910 | 2006-10-10 |
| 1992730311 | Stephen Joseph Blair | Family Medicine | 400 Southborough Dr, South Portland, ME 04106-3249 | 2006-07-12 |
| 1205169976 | Stephen Clyde Blair | Physician Assistant | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2009-09-14 |
| 1164434353 | Stephen Reagor Blair | Pediatrics | 805 Saint Vincents Dr, Suite 430, Birmingham, AL 35205-1636 | 2006-08-13 |
| 1831140763 | Stephen Brian Blair | Pharmacy Technician | 1217 E 10th Ave, Anchorage, AK 99501-4003 | 2006-05-15 |
| Street Address |
100 W DEAN KEETON ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78712-1091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223299 | Elana Bizer | Social Worker | 100 W Dean Keeton St, Austin, TX 78712-1091 | 2020-10-20 |
| 1790382703 | Ian Bell | Social Worker | 100 W Dean Keeton St, Austin, TX 78712-1091 | 2020-10-02 |
| 1760013502 | Christopher James Bickel | Student in an Organized Health Care Education/Training Program | 100 W Dean Keeton St, Austin, TX 78712-1091 | 2020-01-30 |
| 1861055311 | Scarlett Gonzalez | Physical Therapy Assistant | 100 W Dean Keeton St, Austin, TX 78712-1091 | 2019-04-19 |
| 1134691066 | Linett Negroni | Social Worker | 100 W Dean Keeton St, Austin, TX 78712-1091 | 2018-12-17 |
| 1598244410 | Shuo Jin | Psychologist | 100 W Dean Keeton St, Austin, TX 78712-1091 | 2018-08-10 |
| 1194170720 | Amanda Jacot | Pharmacist | 100 W Dean Keeton St, Ssb1.110, Austin, TX 78712-1091 | 2016-05-02 |
| 1760860555 | Emily Gonzales | Physical Therapist | 100 W Dean Keeton St, Austin, TX 78712-1091 | 2015-05-12 |
| 1659767747 | University Health Services | Registered Nurse | 100 W Dean Keeton St, Austin, TX 78712-1091 | 2015-04-15 |
| 1801282157 | Charlotte Katzin | Registered Nurse | 100 W Dean Keeton St, Austin, TX 78712-1091 | 2015-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681887 | Sarah Mae Clifford | Specialist/Technologist | 405 E 23rd Street, Austin, TX 78712 | 2020-08-27 |
| 1013533603 | Caleb Montgomery Burleson | Specialist/Technologist | College of Education 1912 Speedway, Stop D5000, Austin, TX 78712 | 2020-06-19 |
| 1215550025 | Javier Benitez | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School General Surgery, 1500 Red River St., Austin, TX 78712 | 2020-05-27 |
| 1396382552 | H-e-b, Lp | Clinical Medical Laboratory | 1601 Trinity St Bldg A Ste 105, Austin, TX 78712 | 2019-12-06 |
| 1427693928 | The University of Texas At Austin | Psychologist | 100 W Dean Keeton St., Austin, TX 78712 | 2019-11-08 |
| 1013565803 | Chidinma Abengowe | Specialist/Technologist | 2015 San Jacinto Blvd, Austin, TX 78712 | 2019-08-27 |
| 1073010724 | Qaisar Alshebani | Internal Medicine | Ut Austin Dell Medical School, Dell Seton Medical Center 1500 Red River Rd, Austin, TX 78712 | 2018-04-10 |
| 1073066239 | The University of Texas At Austin | General Practice | 1601 Trinity Street, Austin, TX 78712 | 2016-07-25 |
| 1184081176 | Nahar Albudoor | Speech-Language Pathologist | 2504 A Whitis, Cma 2.200, A1100, University of Texas At Austin Speech & Hearing Center, Austin, TX 78712 | 2016-01-21 |
| 1922415181 | Kelly Marie Barker | Nurse Practitioner | 1601 Trinity St Ste 704f, Austin, TX 78712 | 2014-07-18 |
| Find all providers in zip 78712 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1245847011 | Diane Brewer | Family Medicine | 309 Shant St, Austin, TX 78748-1612 | 2020-09-25 |
| 1568075265 | Agno Health, LLP | Family Medicine | 2506 South Lamar Blvd, Unit 2, Austin, TX 78704-4731 | 2020-08-24 |
| 1245853514 | Kaitlin Claire Negandhi Valentine | Family Medicine | 1400 N Ih 35 Ste C2.410, Austin, TX 78701-1926 | 2020-05-21 |
| 1548899248 | Candice Bethke Escobedo | Family Medicine | 12020 Pepperidge Dr, Austin, TX 78739-1948 | 2020-04-04 |
| 1184257123 | Aegis Health Services LLC | Family Medicine | 3005 S Lamar Blvd Ste D109-245, Austin, TX 78704-8864 | 2020-02-18 |
| 1285274100 | Mw Wellness Iv, LLC | Family Medicine | 13359 N Highway 183 Ste 403, Austin, TX 78750-7154 | 2020-01-08 |
| 1578112207 | Heather Lenz | Family Medicine | 6633 E Highway 290 Ste 300, Austin, TX 78723-1158 | 2019-09-05 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1609421247 | Maycare, Pllc | Family Medicine | 6911 Ranch Road 620 N Ste A-300, Austin, TX 78732-1920 | 2019-08-08 |
| Find all providers in AUSTIN | ||||
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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.