Blanco Regional Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLANCO REGIONAL CLINIC

Doing business as

Johnson City Medical Clinic

Practice address

405 S US Highway 281
Johnson City, TX 78636-4950

Phone

(830) 833-5581

Fax

(830) 833-4933

NPI assigned

Jul 24, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Eilers

Title

Office Administrator

Phone

(830) 456-6310

Specialties & licenses 1

Addresses

Other names 1

• Johnson City Medical Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Dudley Weaver, MD

  • Family Medicine Physician
  • Johnson City, TX
  • NPI 1841248408
  NPD

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1760824387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 4TH ST",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786064913",
            "telephone_number": "830-833-5581",
            "fax_number": "830-833-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S US HIGHWAY 281",
            "city": "JOHNSON CITY",
            "state": "TX",
            "postal_code": "786364950",
            "telephone_number": "830-833-5581",
            "fax_number": "830-833-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO REGIONAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "EILERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "830-456-6310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson City Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Berg & Florio OD PA Johnson City (Johnson City Eye Care)
• Blanco County Community Health Paramedic Program
• Bruce A. Bottcher, D.C.
• Emily Cropper, PA-C
• Mary Elizabeth Eilers, APN
• Elevate Acupuncture and Wellness, PLLC
• Mark D. Ellis, N.P.

• Family Medicine Physician in Johnson City, TX
• Providers in Johnson City, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.