Walter B. Blair,M.D., Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0101022440 Issued in VA

Legal business name

WALTER B. BLAIR,M.D., INC

Practice address

5115 Bernard Dr
Suite 101
Roanoke, VA 24018-4357

Phone

(540) 774-5861

Fax

(540) 776-9969

NPI assigned

Feb 2, 2012

Last updated

Feb 2, 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. Walter B. Blair, M.D.

Title

Sole Owner

Phone

(540) 774-5861

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1528330800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR",
            "address_2": "SUITE 101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184357",
            "telephone_number": "540-774-5861",
            "fax_number": "540-776-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DR",
            "address_2": "SUITE 101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184357",
            "telephone_number": "540-774-5861",
            "fax_number": "540-776-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER B. BLAIR,M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "540-774-5861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0101022440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gregory L Walter, DC
• Melanie Rebecca Walter, M.D.
• Jacob Keith Walters, PHARMD
• David Clark Walton, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.