Individual provider Active NPI

Jason Patrick Blair, MD

  • Family Medicine Physician
  • Anacortes, WA
National Provider Identifier
1609371830
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.MD.61443822 Issued in WA
Practice address
2511 M Ave Ste B
Anacortes, WA 98221-3897
Phone
(360) 293-3101
Fax
(360) 299-4213
NPI assigned
Mar 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.MD.61443822 WA Primary

Addresses

Primary practice location

2511 M Ave Ste B
Anacortes, WA 98221-3897

Mailing address

2511 M Ave Ste B
Anacortes, WA 98221-3897
Phone (360) 293-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211021000363 TN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 9436547676 Reassigns benefits to 2 organizations
I20230901000223 WA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 9436547676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital District No 2 Skagit County WashingtonGroup PAC ID 1153225198, 77 clinicians

Practice addresses (Care Compare)

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1350

2511 M Ave
Anacortes, WA 98221-3897
Phone (360) 299-4211

Hospital & facility affiliations

  • Hospice of the Northwest Hospice, Mount Vernon, WA, CCN 501505
  • Island Hospital Hospital, Anacortes, WA, CCN 500007
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.MD.61443822WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Aug 1, 2023 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Aug 1, 2023 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
The Camellia Foundation Family Medicine CurrentSince Aug 13, 2021 Accepting new patients
Medicos General PLLC Family Medicine CurrentSince Aug 13, 2021 Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients

Locations

3030 Covington Pike
Ste 100
Memphis, TN 38128
Phone (615) 277-0760

3040 Covington Pike
#100
Memphis, TN 38128
Phone (901) 729-7801

1213 24th St
Ste 100
Anacortes, WA 98221
Phone (360) 293-3101

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

7 Deye Ln
Eastsound, WA 98245
Phone (360) 293-3101

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1609371830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 M AVE STE B",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213897",
            "telephone_number": "360-293-3101",
            "fax_number": "360-299-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 M AVE STE B",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213897",
            "telephone_number": "360-293-3101",
            "fax_number": "360-299-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "JASON",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD.MD.61443822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.