Active NPI
Donald E Blair PSC
- Primary Care Clinic/Center
- Morehead, KY
National Provider Identifier
1215196001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 14767
- Legal business name
- DONALD E BLAIR PSC
- Practice address
- 301 E Main St
Morehead, KY 40351-1621 - Phone
- (606) 784-8124
- Fax
- (606) 780-4874
- NPI assigned
- Jun 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald E Blair, M.D.
- Title
- Owner
- Phone
- (606) 784-8124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 14767 | KY | Primary |
Addresses
Primary practice location
301 E Main St
Morehead, KY 40351-1621
Mailing address
301 E Main St
Morehead, KY 40351-1621
Phone (606) 784-8124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64147671 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
301 E Main St
Morehead, KY 40351
Phone (606) 784-8124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226016000000",
"number": "1215196001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E MAIN ST",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511621",
"telephone_number": "606-784-8124",
"fax_number": "606-780-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E MAIN ST",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511621",
"telephone_number": "606-784-8124",
"fax_number": "606-780-4874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD E BLAIR PSC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-05",
"last_updated": "2008-11-07",
"status": "A",
"authorized_official_last_name": "BLAIR",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-784-8124",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "KY",
"license": "14767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64147671",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.