# 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:** 1407981566
- **Authorized official:** JENNIFER L. BRYAN (PROJECTS MGR.)
- **Authorized official phone:** (814) 949-7621

## Contact information

- **Practice address:** 1400 PENNSYLVANIA AVE, TYRONE, PA 16686-1728
- **Practice address phone:** (814) 684-2100
- **Practice address fax:** (814) 684-5828
- **Mailing address:** 1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
- **Mailing address phone:** (814) 946-1655
- **Mailing address fax:** (814) 949-7616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007393100025 | — | PA |
| 01 | — | 1015355 | GATEWAY OFFICE NUMBER | PA |
| 01 | — | W413 | GEISINGER OFFICE NO | PA |