JC Blair OBGYN Associates LTD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

JC BLAIR OBGYN ASSOCIATES LTD

Practice address

1227 Warm Springs Ave
Suite 302
Huntingdon, PA 16652-2300

Phone

(814) 643-3808

Fax

(814) 643-8272

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Kyung Yun Lee, M.D.

Title

Owner

Phone

(814) 643-3808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104859834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 WARM SPRINGS AVE",
            "address_2": "SUITE 302",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522300",
            "telephone_number": "814-643-3808",
            "fax_number": "814-643-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 WARM SPRINGS AVE",
            "address_2": "SUITE 302",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522300",
            "telephone_number": "814-643-3808",
            "fax_number": "814-643-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC BLAIR OBGYN ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "KYUNG YUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-643-3808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16540",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Huntingdon, PA
• Providers in Huntingdon, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.