GARY BLAIR (NPI# 1962498378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962498378 |
| Entity Type | Individual |
| Full Name | GARY BLAIR |
| Practice Address |
103 Garland St Everett MA 02149-5066 |
| Mailing Address |
163 Gore St Cambridge MA 02141-1131 |
| Practice Telephone | 6176651000 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2012-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 79479 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3128369 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215067566 | Gary Q Blair | Chiropractor | 1185 Arthur Street, Eugene, OR 97402 | 2007-03-06 |
| 1639170277 | Gary Wesley Blair | Pharmacist | 1301 Young St, Dallas, TX 75202-5433 | 2005-08-04 |
| 1407127137 | Gary Dean Blair | Social Worker | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2012-01-26 |
| Street Address |
103 GARLAND ST |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093379737 | Lisa Marie Shoulders | Physician Assistant | 103 Garland St, Everett, MA 02149-5066 | 2019-04-29 |
| 1952964983 | Samantha Christine Bianchi | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2019-04-16 |
| 1851862080 | Nicole Theresa Desimone | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-12-16 |
| 1194210542 | Susan Catherine Reilly | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-06-28 |
| 1962995738 | Catherine Ande Sinelien | Respiratory Therapist, Registered | 103 Garland St, Everett, MA 02149-5066 | 2018-06-07 |
| 1912499625 | Karla Marie Osorio | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-05-30 |
| 1417447475 | Justin Puckett | Physician Assistant | 103 Garland St, Everett, MA 02149-5066 | 2018-05-15 |
| 1508362633 | Stephanie Healy | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-04-05 |
| 1639695554 | Beili Zhu | Physical Therapist | 103 Garland St, Everett, MA 02149-5066 | 2017-08-22 |
| 1518319003 | Christine Hopkins | Physical Therapy Assistant | 103 Garland St, Everett, MA 02149-5066 | 2016-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063624146 | Catharine R Keay | Emergency Medicine | 1716 W Marine Dr Ste C, Everett, WA 98201-2098 | 2007-05-03 |
| 1720103534 | Wilfred P Hodgdon | Emergency Medicine | Emer Dept Widden Hosp, 103 Garland Street, Everett, MA 02149 | 2007-03-20 |
| 1376581074 | Antonio L Brandt | Emergency Medicine | 1716 W Marine View Dr, #c, Everett, WA 98201-2098 | 2006-06-03 |
| 1407800550 | Phyllis M Chen | Emergency Medicine | Emergency Dept., Whidden Memorial Hospital, 103 Garland Street, Everett, MA 02149 | 2006-05-22 |
| 1689654212 | Todd M Denkinger | Emergency Medicine | 1716 W Marine View Dr Ste C, Everett, WA 98201-2098 | 2006-01-19 |
| 1336125715 | Jody M Bockrath | Emergency Medicine | 1716 W. Marine View Drive #c, North Sound Emergency Medicine, Everett, WA 98201 | 2005-12-19 |
| 1972034874 | Nathan M. Peck | Emergency Medicine | 1700 13th St, Everett, WA 98201-1689 | 2017-03-22 |
| 1013361518 | Rhadika Mccormick Souza | Emergency Medicine | 1321 Colby Ave, Everett, WA 98201-1665 | 2016-04-20 |
| 1568758308 | Tolulope Oyeyemi Olade | Emergency Medicine | 3927 Rucker Ave, Everett, WA 98201-4833 | 2011-06-20 |
| 1922303478 | Eastside Emergency Physicians, Pllc | Emergency Medicine | 13020 Meridian Ave S, Everett, WA 98208-6422 | 2011-01-13 |
| 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.