Michael William Blab, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

017743 Issued in ME

Practice address

219 Capitol St
Concentra Medical Center -- Augusta
Augusta, ME 04330-6235

Phone

(207) 629-5005

NPI assigned

Oct 23, 2006

Last updated

Dec 29, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1215010566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CAPITOL ST",
            "address_2": "CONCENTRA MEDICAL CENTER -- AUGUSTA",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306235",
            "telephone_number": "207-629-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CAPITOL ST",
            "address_2": "CONCENTRA MEDICAL CENTER -- AUGUSTA",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306235",
            "telephone_number": "207-629-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAB",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "017743",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K9732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Bickford, LCPC, LADC
• William Bingaman, PTA
• Bio-Medical Applications of Maine, Inc. (Kennebec Kidney Center)
• Darcy Bishop, RDH
• Rachel A Bisson, P.T.A.
• Rachel Anne Black
• Victoria Blackington, OTR/L
• Kelly Blackwell, MA, CCC-SLP
• Stacey Lynn Blais
• Amanda Blier, PT

• Orthopaedic Surgery Physician in Augusta, ME
• Providers in Augusta, ME by specialty
• Orthopaedic Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.