# BLAIR MEDICAL ASSOCIATES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033252879
- **Authorized official:** JENNIFER L. BRYAN (PROJECTS MGR.)
- **Authorized official phone:** (814) 949-7621

## Contact information

- **Practice address:** 1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
- **Practice address phone:** (814) 949-7621
- **Practice address fax:** (814) 949-7616
- **Mailing address:** 1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
- **Mailing address phone:** (814) 949-7621
- **Mailing address fax:** (814) 949-7616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 04/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0008222080014 | DR. MANIGLIA'S MA PROVIDER NUMBER (18TH ST. OLD OFFICE) | PA |
| 01 | — | 0011392930016 | DR. MEXTORF MA NUMBER FOR ALTOONA | PA |
| 01 | — | 0011895710004 | PEDIATRICS GROUP MA NUMBER | PA |
| 01 | — | 0014172930011 | DR. FLORES' MA NUMBER FOR ALTOONA | PA |
| 05 | — | 0014787610002 | — | PA |
| 01 | — | 0015864460004 | MA NUMBER FOR DR. SCHLECHTER ALTOONA OFFICE | PA |
| 05 | — | 1007393100001 | — | PA |
| 05 | — | 10073931000102 | — | PA |
| 05 | — | 1007393100018 | — | PA |
| 01 | — | 1007393100021 | ALTOONA MA GROUP NUMBER (OLD-UNION AVE OFFICE) | PA |
| 05 | — | 1007393100022 | — | PA |
| 05 | — | 1007393100101 | — | PA |
| 01 | — | 1014409 | GATEWAY NEUROLOGY NUMBER | PA |
| 01 | — | 1015340 | GATEWAY IM NUMBER | PA |
| 01 | — | 1015349 | GATEWAY FP NUMBER | PA |
| 01 | — | 1015429 | GATEWAY PODIATRY NUMBER | PA |
| 01 | — | 1015438 | GATEWAY SURG. NUMBER | PA |
| 01 | — | 1015582 | GATEWAY ENDO NUMBER | PA |
| 01 | — | 1015584 | GATEWAY DERM NUMBER | PA |
| 01 | — | 1019546 | GATEWAY PEDS NUMBER | PA |
| 01 | — | 1556762 | GATEWAY OB GYN NUMBER | PA |