Blake B O'Lavin, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

E3392 Issued in TX

Practice address

409 Colony Dr
Suite 402
Corpus Christi, TX 78412-2674

Phone

(361) 883-1731

Fax

(361) 883-1440

NPI assigned

Sep 9, 2005

Last updated

Dec 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 3

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blake.o.lavin.1@26349.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26349/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health and Human Services Commission

  dba Rio Grande State Center

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• Health and Human Services Commission

  dba Big Spring State Hospital

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD
• Epilepsy Foundation Central & South Texas

  • Specialist
  • Laredo, TX
  • NPI 1720104821
  NPD (past)
• Epilepsy Foundation Central and South Texas

  • Epilepsy Physician
  • San Antonio, TX
  • NPI 1104942382

  Specialist

  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1093709578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 COLONY DR",
            "address_2": "SUITE 402",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122674",
            "telephone_number": "361-883-1731",
            "fax_number": "361-883-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 COLONY DR",
            "address_2": "SUITE 402",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122674",
            "telephone_number": "361-883-1731",
            "fax_number": "361-883-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LAVIN",
        "first_name": "BLAKE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E3392",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E3392",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "E3392",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "TX",
            "license": "E3392",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TX",
            "license": "E3392",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "TX",
            "license": "E3392",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "E3392",
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "TX",
            "license": "E3392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130010206",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129235102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "812585",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Lynette O'Connell, MS, LPC
• Tara Theresa O'Connell, LCSW-S
• Amy E. O'Donnell, M.ED., CCC-A
• Amy Ryan O'Donnell, RDN
• Kayla O'Donnell
• Meaghan Alyson O'Neill
• Amber Michelle O'Quinn, MS, ATC, LAT, ITAT
• Valerie Leann O'Quinn, FNP-C
• O2 Dental PLLC (O2 Dental)
• Oasis Counseling & Psychiatry, LLC

• Neurology Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.