Ryan R. Blair

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

1259-060 Issued in WI

Practice address

200 S Executive Dr
Suite 101
Brookfield, WI 53005-4216

Phone

(888) 964-6681

Fax

(888) 662-0859

NPI assigned

Dec 16, 2009

Last updated

Sep 4, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1447589783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WORCESTER ST",
            "address_2": "SUITE 130",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823744",
            "telephone_number": "617-964-6681",
            "fax_number": "339-686-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S EXECUTIVE DR",
            "address_2": "SUITE 101",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054216",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "RYAN",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1259-060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447589783",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy L Biwer, LPC
• BKD Brookdale Place of Brookfield, LLC (Brookdale Brookfield AL)
• BKD Clare Bridge Place Brookfield, LLC (Brookdale Brookfield MC)
• Stuart E Blacher, MD
• Aubrey Blahnik, MS, CCC-SLP
• Christopher Allen Blake, DDS
• Sara Blandino, LMT
• Russell Blankenburg, MD
• Bryanne Lee Blanton, BCBA, LBA, MS
• Gregory Michael Blau, D.C.

• Hearing Instrument Specialist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Hearing Instrument Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.