Mary D Blomquist, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

H0189 Issued in TX

Practice address

6100 Windcom CT
Suite 101
Plano, TX 75093-7886

Phone

(972) 398-3500

Fax

(972) 398-3512

NPI assigned

Apr 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• John Allen Van Wagoner, MD, PA

  • Specialist
  • Plano, TX
  • NPI 1316063993
  Medicare reassignment NPD

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1275597791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WINDCOM CT",
            "address_2": "SUITE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937886",
            "telephone_number": "972-398-3500",
            "fax_number": "972-398-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WINDCOM CT",
            "address_2": "SUITE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937886",
            "telephone_number": "972-398-3500",
            "fax_number": "972-398-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMQUIST",
        "first_name": "MARY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "H0189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Blizzard
• Brandon L Bloch, M.D.
• Andrew Robert Block, PH.D.
• Gail Blom, MA OTR CHT
• Gregory Blomquist, MD
• Laurie Blott
• Benjamin J Blow, MD
• Blue Haven Hospice, LLC
• Blue Horizon Hospice of Texas LLC
• Blue Star Psychology & Consulting, PLLC

• Allergy & Immunology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.