Donald Levester Blair II, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

H4171 Issued in TX

Practice address

3920 W Wheatland Rd
Suite 108
Dallas, TX 75237-3401

Phone

(214) 948-7779

Fax

(214) 948-9977

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1043221989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 W WHEATLAND RD",
            "address_2": "SUITE 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373401",
            "telephone_number": "214-948-7779",
            "fax_number": "214-948-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W WHEATLAND RD",
            "address_2": "SUITE 108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373401",
            "telephone_number": "214-948-7779",
            "fax_number": "214-948-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "DONALD",
        "middle_name": "LEVESTER",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H4171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "8658N0",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blaha Family Medical Clinic
• Ronald J Blaha, D.C., RMT, RN
• Ziad Blaik, MD
• Brittany Blair, RN, SRNA
• Dana Moray Blair, CPNP
• Elizabeth Blair, MA, LPC-A
• Gary Wesley Blair, D.PH.
• Graham Ross Mofield Blair, MD
• Jacob Blair, DO
• Kristi Lain Blair, CRNA

• Obstetrics & Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.