Organization Active NPI

Mark a Blair MD PC

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1629973078
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MARK A BLAIR MD PC
Practice address
12251 N 32ND St Ste 8
Phoenix, AZ 85032-7144
Phone
(602) 430-8142
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Mark A Blair, MD
Title
Owner
Phone
(602) 430-8142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

12251 N 32ND St Ste 8
Phoenix, AZ 85032-7144

Mailing address

12251 N 32ND St Ste 8
Phoenix, AZ 85032-7144
Phone (602) 430-8142

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1629973078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 N 32ND ST STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327144",
            "telephone_number": "602-430-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 N 32ND ST STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327144",
            "telephone_number": "602-430-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A BLAIR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-430-8142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.