Keith Blair

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35037333B Issued in OH

Legal business name

KEITH BLAIR

Practice address

725 N Sandusky Ave
Bucyrus, OH 44820-1463

Phone

(419) 562-7676

Fax

(419) 562-8469

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Keith David Blair, MD

Title

MD

Phone

(419) 562-7676

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1861675746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201463",
            "telephone_number": "419-562-7676",
            "fax_number": "419-562-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201463",
            "telephone_number": "419-562-7676",
            "fax_number": "419-562-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH BLAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "419-562-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35037333B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0246335",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David D. Jung, DO
• Robert L Kalb, MD
• Zachary Kanney, COTA
• Casey Rogers Kariya, DDS
• Kristi Sue Keesee, SWA,, LPN
• Martha Jane Keller, RN, LSW
• Sonya Arlene Keller
• Samantha Kelley, AT, ATC
• Liza Eileen Kemery, LPN
• Kimm Kessinger

• Family Medicine Physician in Bucyrus, OH
• Providers in Bucyrus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.