DR. GREGORY L. BLAIR (NPI# 1417999616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417999616 |
| Entity Type | Individual |
| Full Name | DR. GREGORY L. BLAIR |
| Credential | MD |
| Practice Address |
7 S Mickey Mantle Dr Suite 325 Oklahoma City OK 73104-2458 |
| Mailing Address |
Po Box 268922 Oklahoma City OK 73126-8922 |
| Practice Telephone | 4052320101 |
| Practice Fax Number | 4052320102 |
| Mailing Telephone | 4052313857 |
| Mailing Fax Number | 4052727977 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 19544 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | OK700309 | 01 | |
| OK | 100091280A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104269117 | Gregory James Blair | Anesthesiology | 3181 Sw Sam Jackson Park Rd. Portland, Or 97239, L-579, Portland, OR 97239-3098 | 2013-04-09 |
| 1265576821 | Gregory Lee Blair | Counselor | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | 2007-02-16 |
| 1447294954 | Gregory Paul Blair | Internal Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2006-06-15 |
| 1598731291 | Gregory Blair | Internal Medicine | 6555 Coyle Ave, Suite 301, Carmichael, CA 95608-0302 | 2006-02-23 |
| Street Address |
7 S MICKEY MANTLE DR SUITE 325 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447659768 | Best Physicians At Home, Inc | General Practice | 7 S Mickey Mantle Dr, Suite 325, Oklahoma City, OK 73104-2458 | 2014-08-22 |
| 1407092638 | Michelle Joann Mcgolden | Nurse Practitioner | 7 S Mickey Mantle Dr, Suite 325, Oklahoma City, OK 73104-2458 | 2008-12-17 |
| 1487824595 | Physicians At Home, Inc. | Family Medicine | 7 S Mickey Mantle Dr, Ste. 325, Oklahoma City, OK 73104-2458 | 2008-03-04 |
| 1942495080 | James Michael Ferris | Family Medicine | 7 S Mickey Mantle Dr, Suite 325, Oklahoma City, OK 73104-2458 | 2007-09-12 |
| 1932392578 | Robert Frances Havener Jr. | Physician Assistant | 7 S Mickey Mantle Dr, Suite 325, Oklahoma City, OK 73104-2458 | 2007-08-27 |
| 1659562726 | Rob Mcgregor Phillips | Physician Assistant | 7 S Mickey Mantle Dr, Suite 325, Oklahoma City, OK 73104-2458 | 2007-08-05 |
| 1053340505 | David Warren Dawson | Family Medicine | 7 S Mickey Mantle Dr, Suite 325, Oklahoma City, OK 73104-2458 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222038 | Miloni Mukesh Parmar | Internal Medicine | 800 Stanton L Young Blvd Aat 6300, Oklahoma City, OK 73104-5018 | 2020-07-16 |
| 1376181479 | Meraki Wellness Group, LLC | Internal Medicine | 1211 N Shartel Ave Ste 802, Oklahoma City, OK 73103-2425 | 2019-12-19 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1407349442 | Sarah Monther Nimri | Internal Medicine | 1200 Childrens Ave Ste 14046, Oklahoma City, OK 73104-4637 | 2018-06-13 |
| 1003343229 | Jesintha Stephenson | Internal Medicine | 800 Stanton L Young Blvd # 6300, Oklahoma City, OK 73104-5018 | 2017-05-18 |
| 1982149100 | Mary K Mercer | Internal Medicine | 5700 N Portland Ave Ste 102, Oklahoma City, OK 73112-1662 | 2016-12-24 |
| 1285087536 | Isma Nusrat Javed | Internal Medicine | 900 N Stonewall Ave Apt 86, C-20, Oklahoma City, OK 73117-2851 | 2016-07-21 |
| 1740632181 | Samid Muhammad Farooqui | Internal Medicine | 101 Ne 53rd St Apt 1917, Oklahoma City, OK 73105-1847 | 2016-07-11 |
| 1285082891 | Syeda Dania Shujaat | Internal Medicine | 920 Stanton L Young Blvd # Wp2040, Oklahoma City, OK 73104-5036 | 2016-05-25 |
| 1912352162 | Talal Zahoor | Internal Medicine | 505 E Sheridan Ave Apt 2141, Oklahoma City, OK 73104-6718 | 2016-04-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.