BLAIR MEDICAL ASSOCIATES - ALTOONA (NPI# 1255472510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255472510 |
| Entity Type | Organization |
| Organization Name | BLAIR MEDICAL ASSOCIATES - ALTOONA |
| Practice Address |
1414 9th Ave Station Medical Center Altoona PA 16602-2415 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 8149497641 |
| Mailing Telephone | 8586252990 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-10-16 |
| Authorized Official Name | MR. KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS005909L | PA | Suppliers |
| Street Address |
1414 9TH AVE STATION MEDICAL CENTER |
| City | ALTOONA |
| State | PA |
| Zip Code | 16602-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650848 | Tracy A Lillie | Family Medicine | 1414 9th Ave, Station Medical Center, Altoona, PA 16602-2454 | 2005-12-20 |
| 1538785688 | Tara Anne Benko | Nurse Practitioner | 1414 9th Ave, Altoona, PA 16602-2415 | 2020-06-24 |
| 1295378438 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1414 9th Ave, Altoona, PA 16602-2415 | 2019-10-21 |
| 1174003867 | Rachel Alexa Mcclain | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2018-08-21 |
| 1285170928 | Laura Christine Grassmyer | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2017-01-18 |
| 1649713389 | Upmc Altoona Regional Health | Non-Pharmacy Dispensing Site | 1414 9th Ave, Alto Tower Suite, Altoona, PA 16602-2415 | 2016-11-29 |
| 1306397153 | Laura Jeffries | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2016-10-17 |
| 1851792303 | Gabrielle Dunchuck | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2014-09-15 |
| 1457779910 | Kayla Esch | Physician Assistant | 1414 9th Ave, Blair Medical Associates, Altoona, PA 16602-2415 | 2014-04-02 |
| 1356771406 | Brianne J Baker | Nurse Practitioner | 1414 9th Ave, Altoona, PA 16602-2415 | 2013-11-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
| 1023650991 | Rahaf Obeid | Pharmacist | 508 E Plank Road, Altoona, PA 16602 | 2019-10-12 |
| 1346713641 | Justin M Delasko | Dietitian, Registered | 905 Logan Blvd, Altoona, PA 16602 | 2019-01-09 |
| 1679932420 | Dottie Jean Morgan | Speech-Language Pathologist | 501 Valley View Blvd., Altoona, PA 16602 | 2016-02-22 |
| 1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
| 1972918878 | Grane Hospice Care, Inc. | Hospice Care, Community Based | 115 Union Ave Ste 100, Altoona, PA 16602 | 2014-06-30 |
| 1033524921 | Grane Hospice Care, Inc. | Home Health | 115 Union Ave Ste 300, Altoona, PA 16602 | 2014-06-30 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1497042576 | Michala Seidel | Counselor | 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 | 2011-07-08 |
| 1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
| Find all providers in zip 16602 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378438 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1414 9th Ave, Altoona, PA 16602-2415 | 2019-10-21 |
| 1649713389 | Upmc Altoona Regional Health | Non-Pharmacy Dispensing Site | 1414 9th Ave, Alto Tower Suite, Altoona, PA 16602-2415 | 2016-11-29 |
| 1366583700 | Mainline Medical Associates, Inc. | Non-Pharmacy Dispensing Site | 1400 9th Ave, Altoona, PA 16602-2415 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
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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.