DR. ROBERT VAN BLAIR (NPI# 1194815886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194815886 |
| Entity Type | Individual |
| Full Name | DR. ROBERT VAN BLAIR |
| Credential | MD |
| Practice Address |
719 W Coke Rd Suite 1, Bldg 1 Winnsboro TX 75494-3011 |
| Mailing Address |
Po Box 69 Winnsboro TX 75494-0069 |
| Practice Telephone | 9033423710 |
| Practice Fax Number | 9033423709 |
| Mailing Telephone | 9033423710 |
| Mailing Fax Number | 9033423709 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | H5842 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CAQH ID | 10724731 | 01 |
| TX | 117273 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1508007071 | Robert Lee Blair | Registered Nurse | 119 Blackburn Lane, Kalama, WA 98626 | 2009-03-13 |
| 1386654275 | Robert Eugene Blair Jr. | Optometrist | 1700 N State Route 291, Harrisonville, MO 64701-1218 | 2006-08-09 |
| 1356326847 | Robert W. Blair | Chiropractor | 14949 Kinsman Rd, Middlefield, OH 44062-8277 | 2005-12-07 |
| 1548772866 | Robert Lynn Blair | Community Health Worker | 162 N 400 E Ste A105, St George, UT 84770-7192 | 2017-10-26 |
| 1972972156 | Robert Blair | Pharmacist | 1819 Beaver Ave, Price Chopper #1310, Des Moines, IA 50310-3815 | 2015-09-17 |
| 1174821250 | Robert Dennis Blair | Physical Therapist | 5121 Cottonwood St, Murray, UT 84107-5701 | 2011-03-14 |
| 1134351216 | Robert Neal Blair | Dentist | 7535 Poplar Ave, Memphis, TN 38138-3812 | 2009-08-21 |
| 1093926917 | Robert A. Blair | Counselor | 12882 Bluebell Ave., Huntley, IL 60142-6368 | 2007-05-24 |
| 1477677805 | Robert A Blair | Pharmacist | 2500 Grant Rd, Mountain View, CA 94040-4302 | 2007-03-19 |
| Street Address |
719 W COKE RD SUITE 1, BLDG 1 |
| City | WINNSBORO |
| State | TX |
| Zip Code | 75494-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741575 | John Roberts Blackburn | Urology | 719 W Coke Rd, Ste 2, Winnsboro, TX 75494-3060 | 2005-06-22 |
| 1598300147 | Kim Utley | Physical Therapy Assistant | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2019-11-07 |
| 1477027142 | Kandice Hand | Physical Therapy Assistant | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2019-01-16 |
| 1033626643 | Ashley Elizabeth Hammons | Nurse Practitioner | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2018-01-04 |
| 1912386467 | Timothy Lyons | Physical Therapist | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2015-05-28 |
| 1326434507 | Dr. Bart Pruitt, Pllc | Clinic/Center | 719 W Coke Rd, Mob 2, Winnsboro, TX 75494-3060 | 2015-04-14 |
| 1700282357 | Rocky Mountain Holdings, LLC | Ambulance | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2014-11-10 |
| 1750797536 | June E Beamer Md Pllc | Dermatology | 719 W Coke Rd, Bldg 3, Suite 3, Winnsboro, TX 75494-3011 | 2014-07-01 |
| 1134539034 | Roxanne Swafford | Nurse Practitioner | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2014-04-30 |
| 1194151423 | Tina Gayle Hanner | Nurse Practitioner | 719 W Coke Rd, Bldg. 4, Ste 6, Winnsboro, TX 75494-3011 | 2013-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003392317 | Cordelia Carrington Lovett | Physical Therapist | Rehab Solutions, 406 S Main Street, Winnsboro, TX 75494 | 2018-07-19 |
| 1679972483 | Whispering Pines Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 910 S Beech Street, Winnsboro, TX 75494 | 2014-08-18 |
| 1023438330 | Trinity Nursing and Rehabilitation of Winnsboro, Lp | Skilled Nursing Facility | 502 East Coke Road, Winnsboro, TX 75494 | 2014-04-25 |
| 1467776831 | Autumn Wind | Assisted Living Facility | 1004 E. Coke Rd, Winnsboro, TX 75494 | 2010-03-15 |
| 1427117357 | Henry Frank Cannaday | Dentist | 505 South Mill Street, Winnsboro, TX 75494 | 2006-12-06 |
| 1952486102 | Jerry D Houchin | Internal Medicine | 877 Sw County Rd 3250, Winnsboro, TX 75494 | 2006-10-26 |
| 1871678425 | Lila G Sparkman | Counselor | 101 North Main St Suite 209, Winnsboro, TX 75494 | 2006-10-25 |
| 1801811534 | Theodore Knox Gregory II | Nurse Anesthetist, Certified Registered | 719 W Coke Road, Presbyterian Hospital Winnsboro, Winnsboro, TX 75494 | 2006-07-13 |
| 1124013644 | Kathy G. Smedley | Counselor | 403 N Post Oak, Winnsboro, TX 75494 | 2005-09-12 |
| 1861493694 | Justin Clive Perish | Chiropractor | 821 South Main Street, Suite 100, Winnsboro, TX 75494 | 2005-08-02 |
| Find all providers in zip 75494 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134325 | Anil Kudchadkar | Surgery | 880 W. Moultrie St., Suite 100, Winnsboro, SC 29180 | 2006-02-23 |
| 1497747430 | David Gutierrez | Surgery | 2104 Loop Rd Ste E, Winnsboro, LA 71295-3341 | 2005-08-16 |
| 1609184555 | Alberto R De La Cruz Md Pa | Surgery | 719 W Coke Rd, Ste.7, Winnsboro, TX 75494-3011 | 2010-09-14 |
| 1770560823 | Alberto R. Delacruz | Surgery | 719 W Coke Rd, Suite 7, Winnsboro, TX 75494-3011 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110971 | Metroplex Surgical Institute Pllc | Surgery | 2937 Lago Vista Ln, Rockwall, TX 75032-5466 | 2020-09-24 |
| 1881209708 | Preva Surgical Partners Cypress LLC | Surgery | 13114 Fm 1960 Rd W Ste 118, Houston, TX 77065-5590 | 2020-09-09 |
| 1063021749 | Brooke Nicole Harris | Surgery | 355 E Vista Ridge Mall Dr Apt 4933, Lewisville, TX 75067-4024 | 2020-07-28 |
| 1609484872 | Deepak Dev Vivekanandan | Surgery | 7703 Floyd Curl Dr # Mc-7742, San Antonio, TX 78229-3901 | 2020-07-14 |
| 1760009195 | Tomball Surgical Assistant Service LLC | Surgery | 18220 Tomball Pkwy # 249, Houston, TX 77070-4347 | 2020-07-01 |
| 1174147086 | North Texas General Surgery Pllc | Surgery | 1600 Coit Rd Ste 207, Plano, TX 75075-6172 | 2020-06-05 |
| 1619591690 | Expert Surgical, Pllc | Surgery | 3537 S I 35 E Ste 200, Denton, TX 76210-6814 | 2020-06-04 |
| 1831712314 | Merten Gene Pearson | Surgery | 7306 Sw 34th Ave Ste 6, Amarillo, TX 79121-1446 | 2020-05-19 |
| 1558983098 | Aleshia Yvette Toler-levi | Surgery | 405 Schley Ave, Orange, TX 77630-3503 | 2020-05-06 |
| 1508487570 | Somkenechi Ijeoma Ajene | Surgery | 301 University Boulevard, 6.136-b John Sealy Annex, Galveston, TX 77555-0534 | 2020-05-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.