Blair Surgical Associates PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BLAIR SURGICAL ASSOCIATES PC

Practice address

2525 Ninth Avenue
Suite 1B
Altoona, PA 16602-2014

Phone

(814) 942-6038

Fax

(814) 942-6038

NPI assigned

Apr 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Subhashis Maitra, MD

Title

President Corporation

Phone

(814) 942-6038

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1013971860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NINTH AVENUE",
            "address_2": "SUITE 1B",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022014",
            "telephone_number": "814-942-6038",
            "fax_number": "814-942-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NINTH AVENUE",
            "address_2": "SUITE 1B",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022014",
            "telephone_number": "814-942-6038",
            "fax_number": "814-942-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "MAITRA",
        "authorized_official_first_name": "SUBHASHIS",
        "authorized_official_title_or_position": "PRESIDENT CORPORATION",
        "authorized_official_telephone_number": "814-942-6038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017867790005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI2845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blair Nephrology Assoc Inc
• Blair Neurologic Associates
• Blair Orthopedic Associates, Inc.
• Blair Renal Associates Inc
• Blair Senior Services, Inc.
• Courtney Blair, LCSW
• Mackenzie Blake, MOT, OTR/L
• Jesse Blank
• Joanna L Blattenberger, APRN
• Adam Blescia

• All providers in Altoona, PA
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.