Tim Blair MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27840 Issued in IA

Legal business name

TIM BLAIR MD PLLC

Practice address

701 Broad Street
Suite 2
Keosauqua, IA 52565-8374

Phone

(319) 293-7771

Fax

(866) 894-9687

NPI assigned

Feb 15, 2013

Organization subpart

No

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

Authorized official

Name

Timothy J Blair, M.D.

Title

Member

Phone

(319) 293-7771

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1780924555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "address_2": "701 BROAD STREET SUITE 2",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525658374",
            "telephone_number": "319-293-7771",
            "fax_number": "866-894-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BROAD STREET",
            "address_2": "SUITE 2",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525658374",
            "telephone_number": "319-293-7771",
            "fax_number": "866-894-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM BLAIR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "319-293-7771",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "27840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Ann Smithart, P.A.-C
• Belinda Lee Striegel, A.R.N.P.
• The Evangelical Lutheran Good Samaritan Society
• Thomas Pharmacy Inc.
• Larry Thomas IV
• Van Buren Community School
• Van Buren Community School District
• Van Buren County Hospital
• Van Buren County Hospital
• Van Buren County Hospital

• Family Medicine Physician in Keosauqua, IA
• Providers in Keosauqua, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.