Blair Orthopedic Associates, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

OS010299L Issued in PA

Legal business name

BLAIR ORTHOPEDIC ASSOCIATES, INC

Doing business as

Blair Orthopedics

Practice address

121 June Dr
Roaring Spring, PA 16673-1209

Phone

(814) 942-1166

Fax

(814) 942-6222

NPI assigned

May 3, 2012

Last updated

May 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Port, M.D.NPI 1104894229

Title

President

Phone

(814) 942-1166

Specialties & licenses 8

Addresses

Other names 1

• Blair Orthopedics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Port, MD

  • Orthopaedic Surgery Physician
  • Altoona, PA
  • NPI 1104894229
  Authorized official Same address or phone

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1336408871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 FAIRWAY DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024472",
            "telephone_number": "814-942-1166",
            "fax_number": "814-942-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 JUNE DR",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731209",
            "telephone_number": "814-942-1166",
            "fax_number": "814-942-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR ORTHOPEDIC ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "PORT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-942-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS014338",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS015190",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD042447L",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS009814L",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS010299L",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD430649",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS015167",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blair Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary L. Baney, D.C.
• Landon P Barton, CRNP
• Stacy Lynn Beach, A.T.C
• Howard Matthew Black, MD
• Blair Medical Associates
• Candice B Brannan
• Carolyn D Brumbaugh, RN, CRNP
• Taylor Buchanan, PT
• Brian Kent Burket, LPC
• Kelly Lee Bushore, PHYSICAL THERAPIST

• Orthopaedic Surgery Physician in Roaring Spring, PA
• Providers in Roaring Spring, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.