Matthew L Blair

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

400 Mane Street 800 Galloway Drive
Hammond, LA 70402-0001

Phone

(985) 549-2129

Fax

(985) 549-5119

NPI assigned

Feb 28, 2019

Last updated

Feb 28, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1316404049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 FERN DR",
            "city": "WESTWEGO",
            "state": "LA",
            "postal_code": "700944538",
            "telephone_number": "504-345-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MANE STREET 800 GALLOWAY DRIVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704020001",
            "telephone_number": "985-549-2129",
            "fax_number": "985-549-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Black
• William Geyman Black, M.D.
• Dewey Wright Blackwell, MD
• Kacie Blackwell, APRN
• Shirley Elizabeth Blackwell, LOTR
• Maria K Blake, DDS
• Suzanne Blake
• Abby Blanchard, LPC
• Christopher Peter Blanchard, DDS
• Jordan Willingham Blankenship

• Student in an Organized Health Care Education/Training Program in Hammond, LA
• Providers in Hammond, LA by specialty
• Student in an Organized Health Care Education/Training Program in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.