Jerry R Blair (NPI# 1790769701, PAC ID# 3678631330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1790769701 |
| PAC ID by PECOS | 3678631330 |
| Professional Enrollment ID | I20081111000317 |
| Full Name | Jerry R Blair |
| Organization Legal Name | RETINA ASSOCIATES OF MISSOURI, P.C. |
| Address |
3600 Amron Ct Columbia MO 65202-1918 |
| Phone Number | 5738741616 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6507924263 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3600 Amron Ct, Columbia, MO 65202-1918 | 5738741616 | RETINA ASSOCIATES OF MISSOURI, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 94% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | RETINA ASSOCIATES OF MISSOURI, P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne Earl Davis | Ophthalmology | Retina Associates of Missouri, P.C. | 201 S Baltimore, B1, Kirksville, MO 63501-3735 |
| Clint W Kellogg | Ophthalmology | Retina Associates of Missouri, P.C. | 500 N Keene St, Suite 102, Columbia, MO 65201-8104 |
| Mari Ann Keithahn | Ophthalmology | Retina Associates of Missouri, P.C. | 201 S Baltimore, B1, Kirksville, MO 63501-3735 |
| Street Address |
3600 AMRON CT |
| City | COLUMBIA |
| State | MO |
| Zip | 65202-1918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carole J Rodon | Clinical Psychologist | 5120 N Hwy Pp, Columbia, MO 65202-0097 | |
| Kenneth E Sattizahn | Chiropractic | 1705 N Stadium Blvd, Suite A, Columbia, MO 65202-1305 | |
| Cynthia Elaine Baker | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 1406 W Business Loop, Suite 70, Columbia, MO 65202-1324 |
| Ahmed A Taranissi | Psychiatry | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Dina Goodin | Nurse Practitioner | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Femi Popoola | Psychiatry | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Agara Reddy | Psychiatry | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Eric D Bettis | Emergency Medicine | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Andrea Earlywine | Nurse Practitioner | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Marcia J Walmer | Nurse Practitioner | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Find all physicians in zip 65202 | |||
| City | COLUMBIA |
| Zip Code | 65202 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | COLUMBIA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jerry R Blair.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.