KENNETH LEROY BLAIR (NPI# 1912022831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912022831 |
| Entity Type | Individual |
| Full Name | KENNETH LEROY BLAIR |
| Credential | P.A. |
| Practice Address |
Lee St Charlottesville VA 22908-0001 |
| Mailing Address |
500 Ray C Hunt Dr Charlottesville VA 22903-2981 |
| Practice Telephone | 4342436828 |
| Practice Fax Number | 4349823885 |
| Mailing Telephone | 4349806140 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110840488 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831464064 | Kenneth Wayne Blair | Counselor | 7700 Sandlewood Dr, Oklahoma City, OK 73132-3927 | 2012-03-21 |
| 1700380714 | Kenneth Blaine Blair | Student in an Organized Health Care Education/Training Program | 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2018-03-23 |
| 1568858108 | Kenneth Rey Blair | Nurse Practitioner | 9506 Hospital Ave, Nassawadox, VA 23413 | 2015-04-10 |
| 1134148182 | Kenneth Morris Blair | Family Medicine | 1 Erie Ct, Suite 6160, Oak Park, IL 60302-2566 | 2006-07-19 |
| Street Address |
LEE ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565289 | Cornelius W. Thomas | Counselor | Lee St, Charlottesville, VA 22908-0001 | 2005-08-12 |
| 1447522263 | Rebecca D. Lehman | Physician Assistant | Lee St, Charlottesville, VA 22908-0001 | 2012-02-09 |
| 1487814919 | Amanda J Russell-kleiner | Internal Medicine | Lee St, Charlottesville, VA 22908-0001 | 2008-06-09 |
| 1295902211 | Megan L. Madaras | Hospitalist | Lee St, Charlottesville, VA 22908-0001 | 2008-05-08 |
| 1972790723 | Evelyn Joran-thiel | Nurse Practitioner | Lee St, 4th Floor, Charlottesville, VA 22908-0001 | 2007-09-26 |
| 1942412663 | Cheryl L. Gaughen | Anesthesiology | Lee St, 2nd Floor, Charlottesville, VA 22908-0001 | 2007-05-04 |
| 1417173733 | Dorothy A. Rudolph | Social Worker | Lee St, Uva Dept of Family Medicine, Charlottesville, VA 22908-0001 | 2007-04-17 |
| 1356465496 | Lindley O. Banner | Nurse Practitioner | Lee St, Charlottesville, VA 22908-0001 | 2007-03-16 |
| 1750405817 | Janet Dix | Nurse Practitioner | Lee St, Charlottesville, VA 22908-0001 | 2007-03-16 |
| 1770648826 | Tiffini Smith Voss | Psychiatry & Neurology | Lee St, Ground Floor, Charlottesville, VA 22908-0394 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1912562406 | Danielle Shell | Physician Assistant | 1254 Clover Ridge Pl, Charlottesville, VA 22901-9213 | 2019-05-09 |
| 1265953699 | Gina J Carroll | Physician Assistant | 2625 Cedar Ridge Ln, Charlottesville, VA 22901-9414 | 2017-07-06 |
| 1134585961 | Natalie Smith | Physician Assistant | 183 Spotnap Rd Ste C, Charlottesville, VA 22911-8812 | 2016-01-08 |
| 1093185167 | Emily Harriet Gilbert | Physician Assistant | 100 1st St N Apt 202, Charlottesville, VA 22902-5251 | 2015-10-01 |
| 1679815930 | Lindsay R Caine-conley | Physician Assistant | 103 S Pantops Dr Ste 102, Charlottesville, VA 22911-8617 | 2013-03-25 |
| 1376829184 | Traci L. Mahoney | Physician Assistant | 545 Ray C Hunt Dr Ste 140, Charlottesville, VA 22903 | 2011-10-25 |
| 1699951152 | Michelle Louise Post | Physician Assistant | 545 Ray C. Hunt Drive, Ste 310, Charlottesville, VA 22903-7851 | 2008-01-15 |
| 1932223674 | Alden R. Kent | Physician Assistant | 1st Lee St, Charlottesville, VA 22908-0001 | 2007-03-19 |
| 1124142229 | Jennifer A. Hart | Physician Assistant | 1000 Massie Rd, Charlottesville, VA 22903 | 2007-03-16 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
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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.