Nicole Blair, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4351045678 Issued in MI

Practice address

U.S. Marine Corps Forces Command
1775 Forrestal Drive BLDG NH-33
Norfolk, VA 23551

Phone

(301) 651-6026

NPI assigned

May 26, 2018

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Urps Former name

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

General Surgery

Education

George Washington University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Onslow Memorial Hospital IncGroup PAC ID 1456252899, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Onslow Memorial Hospital Inc

  dba Onslow Memorial Hospital

  • General Acute Care Hospital
  • Jacksonville, NC
  • NPI 1679535496
  Medicare reassignment Care Compare group NPD

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

• Onslow Memorial Hospital Inc

  dba Onslow Memorial Hospital

  • General Acute Care Hospital
  • Jacksonville, NC
  • NPI 1679535496
  Care Compare affiliation

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1710478649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "U.S. MARINE CORPS FORCES COMMAND",
            "address_2": "1775 FORRESTAL DRIVE BLDG NH-33",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U.S. MARINE CORPS FORCES COMMAND",
            "address_2": "1775 FORRESTAL DRIVE BLDG NH-33",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23551",
            "telephone_number": "301-651-6026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "USS Nimitz",
            "address_2": "CVN 68",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "98312",
            "country_code": "US",
            "telephone_number": "301-651-6026",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "100 Michigan St NE Ste A501",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032560",
            "country_code": "US",
            "telephone_number": "616-391-6243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-26",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4351045678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "URPS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Addison Leigh Blackwell
• Heather Stowe Blackwell, BCBA
• Merlyn Blackwood, LPC
• Billie Y. Blair-Taylor, M.D.
• Alison Blair, PA-C
• David P Blais, MD
• Annie Lou B Blakey, LCSW
• David Neal Blakey, M.D.
• Lindsey Blanchard, LMT
• Pamela Jean Blanchard, NP

• Surgery Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.