Dorothea Blair

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

400401420804 Issued in OH

Legal business name

DOROTHEA BLAIR

Practice address

5163 Thomas St
Maple Heights, OH 44137-1429

Phone

(216) 224-6839

NPI assigned

Feb 12, 2014

Last updated

Feb 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dorothea Blair

Title

Stna

Phone

(216) 224-6839

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1023432085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5163 THOMAS ST",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371429",
            "telephone_number": "216-224-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5163 THOMAS ST",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371429",
            "telephone_number": "216-224-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHEA BLAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "STNA",
        "authorized_official_telephone_number": "216-224-6839"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "OH",
            "license": "400401420804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.