MR. GAGE THOMAS BLAIR APRN CNP AGACNP-BC NPI 1710643895

NPI Information

NPI: 1710643895
Provider Name: MR. GAGE THOMAS BLAIR, APRN, CNP, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
Phone: (216) 444-2200
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MR. Gage Thomas Blair, APRN, CNP, AGACNP-BC is an acute care nurse practitioner in Cleveland, OH with 2 years of experience. MR. Gage Thomas Blair, APRN, CNP, AGACNP-BC NPI is 1710643895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195-710
Phone: (216) 444-2200

The NPI 1710643895 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/12/2021 and was last updated on 3/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	APRN.CNP.0030753	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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