Active NPI
Keith David Blair, MD
- Family Medicine Physician
- Bucyrus, OH
National Provider Identifier
1508968041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-03-7333B
- Practice address
- 725 N Sandusky Ave
Bucyrus, OH 44820-1463 - Phone
- (419) 562-7676
- Fax
- (419) 562-8469
- NPI assigned
- Sep 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-03-7333B | OH | Primary |
Addresses
Primary practice location
725 N Sandusky Ave
Bucyrus, OH 44820-1463
Mailing address
725 N Sandusky Ave
Bucyrus, OH 44820-1463
Phone (419) 562-7676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0246335 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1508968041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 N SANDUSKY AVE",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448201463",
"telephone_number": "419-562-7676",
"fax_number": "419-562-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 N SANDUSKY AVE",
"city": "BUCYRUS",
"state": "OH",
"postal_code": "448201463",
"telephone_number": "419-562-7676",
"fax_number": "419-562-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "KEITH",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-03-7333B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0246335",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bucyrus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.