Stephen Joseph Blair, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1236 Issued in ME

Practice address

400 Southborough Dr
South Portland, ME 04106-3249

Phone

(207) 761-1100

Fax

(207) 761-3700

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1992730311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOUTHBOROUGH DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063249",
            "telephone_number": "207-761-1100",
            "fax_number": "207-761-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTHBOROUGH DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063249",
            "telephone_number": "207-761-1100",
            "fax_number": "207-761-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1236",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "ME",
            "license": "1236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00318823",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald E Bittermann, M.D.
• Clelia Keza Bizumuremyi
• Samantha Blackadar, LCSW, LICSW
• Dustin Blackington
• Nicolas Blackman, LCPC-C
• Blanche B Belliveau FNP-BC LLC
• Elizabeth Sue Blanchette, LCSW
• Brandy Lynn Blankenship, LPN
• Anna Blash
• Francine F Blattner, MD

• Family Medicine Physician in South Portland, ME
• Providers in South Portland, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.