BLAIR REGENERATIVE MEDICINE LLC (NPI# 1649882275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649882275 |
| Entity Type | Organization |
| Organization Name | BLAIR REGENERATIVE MEDICINE LLC |
| Practice Address |
201 Hospital Dr Ste 2 Everett PA 15537-7019 |
| Mailing Address |
1381 Plank Rd Ste 102 Duncansville PA 16635-8458 |
| Practice Telephone | 8146235592 |
| Mailing Telephone | 1814317517 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | DARRYL KEEF WARNER (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8146235592 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629624689 | Blair Regenerative Medicine LLC | Family Medicine | 1381 Plank Rd Ste 102, Duncansville, PA 16635-8458 | 2019-08-15 |
| Street Address |
201 HOSPITAL DR STE 2 |
| City | EVERETT |
| State | PA |
| Zip Code | 15537-7019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497914469 | Peggy V Steinbrunner | Counselor | 16 Water Street, Ste 101, Everett, PA 15537 | 2008-06-05 |
| 1639274996 | Philip Kucas | Physician Assistant | 227 Hospital Drive, Suite 1, Everett, PA 15537 | 2006-09-13 |
| 1114029154 | Darryl Keef Warner | Chiropractor | 201 Hospital Dr, Suite 2, Everett, PA 15537 | 2006-09-01 |
| 1376553966 | Erin M Richards | Physician Assistant | 249 Hospital Drive Suite 1, Everett, PA 15537 | 2006-08-08 |
| 1710916556 | Raystown Ambulance Service Inc | Ambulance | 4 East South Street, Everett, WA 15537 | 2006-07-02 |
| 1821031931 | Stephen E Mccombie | Optometrist | 34 Bedford Square, Everett, PA 15537 | 2006-06-14 |
| 1982662540 | Elliott Jody Bilofsky | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-05-03 |
| 1780607168 | Elliott Bilofsky Do PC | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1013930387 | Dana Marie Harris | Physician Assistant | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1659347847 | George Michael Zubak | Specialist | 300 N Spring St, Everett, PA 15537-1011 | 2006-02-27 |
| Find all providers in zip 15537 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366856569 | Bowhee Sohn Gwak | Family Medicine | 12800 Bothell Everett Hwy Ste 160, Everett, WA 98208-6644 | 2014-06-16 |
| 1518392513 | Bernadette Flynn | Family Medicine | 41 W 1st St, Everett, PA 15537-1103 | 2013-09-09 |
| 1801164058 | Charles William Starbuck | Family Medicine | 3605 Shore Avenue, Everett, WA 98203-1209 | 2011-12-02 |
| 1649498049 | Western Washington Medical Group, Inc Ps | Family Medicine | 4225 Hoyt Ave Ste B, Everett, WA 98203-2351 | 2007-04-23 |
| 1689790792 | Del Whetstone | Family Medicine | 9629 Evergreen Way, Suite 102, Everett, WA 98204-7198 | 2007-03-21 |
| 1497843213 | Vincent M. Koike | Family Medicine | 7601 Evergreen Way, B-6, Everett, WA 98203 | 2006-10-10 |
| 1295820942 | North Creek Medicine Inc P S | Family Medicine | 210 128th St Se, Everett, WA 98208-6338 | 2006-10-04 |
| 1376644518 | Thomas G. Pautler | Family Medicine | 5007 Claremont Way, Everett, WA 98203-3321 | 2006-09-26 |
| 1487662581 | Allison M Cole | Family Medicine | 1410 Broadway, Everett, WA 98201-1720 | 2006-08-04 |
| 1497779631 | Barbara Christoferson | Family Medicine | 3125 Colby Ave, Suite J, Everett, WA 98201-4032 | 2006-07-27 |
| Find all providers in EVERETT | ||||
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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.