Active NPI
William R Blair, D.O.
- Family Medicine Physician
- Swansea, MA
National Provider Identifier
1629428644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 279139
- Practice address
- 479 Swansea Mall Dr
Swansea, MA 02777-4119 - Phone
- (508) 973-1570
- Fax
- (508) 973-1545
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO00962 | RI | |
| Family Medicine Physician | 207Q00000X | 279139 | MA | Primary |
Addresses
Primary practice location
479 Swansea Mall Dr
Swansea, MA 02777-4119
Mailing address
200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wblair47024@direct.southcoast.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190814001327 | MA | Practitioner - Family Practice | 5597059246 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southcoast Physicians Group Inc
Practice addresses (Care Compare)
479 Swansea Mall Dr
Swansea, MA 02777-4119
Phone (508) 973-1570
Hospital & facility affiliations
- Southcoast Visiting Nurse Association Inc
- Hospice and Palliative Care
- Southcoast Hospitals Group
- Saint Anne'S Hospital
- Brigham and Women'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO00962 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Family Medicine | Current | Accepting new patients |
Locations
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
479 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 672-5300
Interoperability endpoints
- wblair47024@direct.southcoast.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
Family Medicine, MA
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
Hospital
-
- Community Based Hospice Care Agency
- Fairhaven, MA
- NPI 1801990452
Hospice
-
- Home Health Agency
- Fairhaven, MA
- NPI 1104937697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1629428644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD STE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195255",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "479 SWANSEA MALL DR",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027774119",
"telephone_number": "508-973-1570",
"fax_number": "508-973-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "DO00962",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "279139",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wblair47024@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Health Epic Direct Address",
"address_1": "479 Swansea Mall Dr",
"city": "Swansea",
"state": "MA",
"country_code": "US",
"postal_code": "027774119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.