Jonathan Blau, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

J7721 Issued in TX

Practice address

2737 S Broadway Ave
Tyler, TX 75701

Phone

(903) 592-6000

Fax

(903) 592-3224

NPI assigned

Mar 27, 2006

Last updated

Jan 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jonathan.blau.p1@direct.precisionspinecare.nextgenshare.com

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.

• Charles R Gordon MD PA

  dba Precision Spine Care

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1982717955
  Medicare reassignment NPD
• Jonathan Blau MD PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tyler, TX
  • NPI 1073653820
  NPD Authorized official
• Charles R Gordon MD PA

  dba Precision Spine Care

  • Interventional Pain Medicine Physician
  • Lufkin, TX
  • NPI 1720513328
  NPD
• Precision Surgery Center, LLC.

  • Ambulatory Surgical Clinic/Center
  • Texarkana, TX
  • NPI 1669959151
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1942260567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6605",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757116605",
            "telephone_number": "903-592-6000",
            "fax_number": "903-592-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-592-6000",
            "fax_number": "903-592-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAU",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "J7721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Blankinship, FNP-C
• Branden Blanton, AGNP
• Kenneth Blanton
• Jason L. Blaser, MD
• Bianca Blattman, LPC-A
• Julie Lane Blavier, D.C.
• Natasha Blaydes
• Amber Blissett, PA-C
• Karla Joelle Blixt, PAC
• Teddy Blodgett

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.