Lisa Jill Blair, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K6444 Issued in TX

Practice address

1711 W Wheeler Ave
Aransas Pass, TX 78336-4536

Phone

(361) 226-3434

NPI assigned

Aug 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Hendrick Provider Network

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1396961322

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1477555878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 DEBRA LN",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784182704",
            "telephone_number": "830-200-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W WHEELER AVE",
            "city": "ARANSAS PASS",
            "state": "TX",
            "postal_code": "783364536",
            "telephone_number": "361-226-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "LISA",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6444",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "23987",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009961480",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aransas Pass Ind School Dist
• Athena Urgent Care PLLC
• Richard R. Banse, PHYSICAL THERAPIST
• Bayshore Nursing & Rehab Center, Inc
• David Henry Binder, DDS
• Justin Ryan Brown, D.O.
• Melissa A Bruce, F.N.P.
• Linda Irene Byrum, M.A., LPC, LSOTP
• Heather Nicole Cantu
• Care Holdings

• Family Medicine Physician in Aransas Pass, TX
• Providers in Aransas Pass, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.