Major Elliott Blair (NPI# 1124027479, PAC ID# 7911039896) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1124027479 |
| PAC ID by PECOS | 7911039896 |
| Professional Enrollment ID | I20160713000185 |
| Full Name | Major Elliott Blair |
| Organization Legal Name | NWTX PHYSICIAN NETWORK PLLC |
| Address |
301 N 23rd St Suite C Canyon TX 79015-3028 |
| Phone Number | 8064525522 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4688899149 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450209 | NORTHWEST TEXAS HOSPITAL |
| 450231 | BAPTIST ST ANTHONY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 S Coulter St, F, Amarillo, TX 79106-1710 | 8063983627 | NWTX PHYSICIAN NETWORK PLLC |
| 301 N 23rd St, Suite C, Canyon, TX 79015-3028 | 8064525522 | NWTX PHYSICIAN NETWORK PLLC |
| Organization Legal Name | NWTX PHYSICIAN NETWORK PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie Louise Pemberton | Nurse Practitioner | Nwtx Physician Network Pllc | 1000 Craig Dr, Amarillo, TX 79106-4015 |
| Susan F Meikle | Hospice/palliative Care | Nwtx Physician Network Pllc | 1600 S Coulter St, F, Amarillo, TX 79106-1710 |
| Jesus Garcia Mayorga | Psychiatry | Nwtx Physician Network Pllc | 7201 Evans St, Amarillo, TX 79106-1707 |
| Harry Cazzola | Family Medicine | Nwtx Physician Network Pllc | 301 N 23rd St, Suite C, Canyon, TX 79015-3028 |
| Kirsten B Smith | Physician Assistant | Nwtx Physician Network Pllc | 301 N 23rd St, Suite C, Canyon, TX 79015-3028 |
| Kaitlyn M Wynne | Nurse Practitioner | Nwtx Physician Network Pllc | 301 N 23rd St, Suite C, Canyon, TX 79015-3028 |
| Blake R Obrock | Orthopedic Surgery | Nwtx Physician Network Pllc | 1600 S Coulter St, F, Amarillo, TX 79106-1710 |
| Joy Obokhare | Otolaryngology | Nwtx Physician Network Pllc | 1600 S Coulter St, F, Amarillo, TX 79106-1710 |
| Susan G Goetz | Family Medicine | Nwtx Physician Network Pllc | 1000 Craig Dr, Amarillo, TX 79106-4015 |
| Christopher Glock | Hand Surgery | Nwtx Physician Network Pllc | 301 N 23rd St, Suite C, Canyon, TX 79015-3028 |
| Street Address |
301 N 23RD ST SUITE C |
| City | CANYON |
| State | TX |
| Zip | 79015-3028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harry Cazzola | Family Medicine | Nwtx Physician Network Pllc | 301 N 23rd St, Suite C, Canyon, TX 79015-3028 |
| Kirsten B Smith | Physician Assistant | Nwtx Physician Network Pllc | 301 N 23rd St, Suite C, Canyon, TX 79015-3028 |
| Kaitlyn M Wynne | Nurse Practitioner | Nwtx Physician Network Pllc | 301 N 23rd St, Suite C, Canyon, TX 79015-3028 |
| Christopher Glock | Hand Surgery | Nwtx Physician Network Pllc | 301 N 23rd St, Suite C, Canyon, TX 79015-3028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria Lewis | Nurse Practitioner | 1619 4th Ave, Canyon, TX 79015-3824 | |
| Russell R Kershen | Chiropractic | 1613 4th Ave, Canyon, TX 79015-3824 | |
| Kevin E Raef | Chiropractic | 402 15th St, Canyon, TX 79015-3839 | |
| William D Townsend | Optometry | Jbk Eye Care LLP | 1801 4th Ave, Canyon, TX 79015-3853 |
| Kevin R Appel | Optometry | Jbk Eye Care LLP | 1801 4th Ave, Canyon, TX 79015-3853 |
| Lauren A Salazar | Optometry | Jbk Eye Care LLP | 1801 4th Ave, Canyon, TX 79015-3853 |
| Spencer W Church | Physical Therapy | Winfrey Enterprises, LLC | 907 23rd St, Canyon, TX 79015-4645 |
| Martha Elisa Flores | Nurse Practitioner | Fmc Medical Foundation Inc | 911 23rd St, Canyon, TX 79015-4645 |
| Robert D Gross | Family Medicine | Fmc Medical Foundation Inc | 911 23rd St, Canyon, TX 79015-4645 |
| Zhila Khamisi Asl | Physician Assistant | Fmc Medical Foundation Inc | 911 23rd St, Canyon, TX 79015-4645 |
| Find all physicians in zip 79015 | |||
| City | CANYON |
| Zip Code | 79015 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CANYON + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.