JONATHAN BLAU MD PA – NPI #1073653820
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Health Care Provider Taxonomy Code for Physical Medicine & Rehabilitation

JONATHAN BLAU MD PA is a provider located in TYLER, TX. NPPES has assigned the NPI number 1073653820 to JONATHAN BLAU MD PA on February 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 16 years ago on Jul 27, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JONATHAN BLAU MD PA below.

NPI Profile for
JONATHAN BLAU MD PA

NPI Number
1073653820
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JONATHAN BLAU MD PA
Primary location
1814 ROSELAND BLVD
SUITE 200
TYLER, TX 75701-4234
Phone: (903) 593-6500 Fax: (903) 531-9535
Mailing address
PO BOX 6547
TYLER, TX 75711-6547
Phone: (903) 593-6500 Fax: (903) 531-9535
Organization Subpart
No
Authorized Official
JONATHAN BLAU
OWNER PHYSICIAN
Phone: (903) 593-6500
Updated
Identifiers

Identifiers for JONATHAN BLAU MD PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX163743101
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)		 TX J4721

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.