Mark a Blair MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

32353 Issued in AZ

Legal business name

MARK A BLAIR MD PC

Practice address

12251 N 32ND St
Phoenix, AZ 85032-7189

Phone

(602) 971-0950

NPI assigned

Dec 5, 2007

Last updated

Dec 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Blair, M.D.NPI 1649226705

Title

Owner

Phone

(602) 971-0950

Specialties & licenses 1

Addresses

Other names 1

• Paradise Valley Dermatology Other name

Locations

Practitioners 2

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.

• Mark A Blair, M.D.

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1649226705
  Authorized official Same address or phone
• Theodore Clyde Carner, MD

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1548596422
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1962684530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327189",
            "telephone_number": "602-971-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327189",
            "telephone_number": "602-971-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A BLAIR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-971-0950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "32353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Valley Dermatology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marika Maris
• Paul Frederick Marischen, DDS
• Marissa Rubio-Ellis,DDS,PC (Union Hills Family Dental Care & Orthodontics)
• Maritza I. Irizarry MD Inc (Sunshine Pediatrics)
• Mark a Blair MD PC
• Mark a Espinoza DDS PLLC
• Mark a Espinoza DDS PLLC
• Mark a Greenfield
• Mark a Kallgren MD PLLC
• Mark a Omalley DO PC

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.