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JONATHAN BLAU MD PA
NPI 1073653820
Physical Medicine & Rehabilitation - Pain Medicine in Tyler, TX

Active since February 08, 2007
1814 ROSELAND BLVD, SUITE 200, TYLER, TX 75701(903) 593-6500(903) 531-9535 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Blau Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN BLAU MD PA (NPI 1073653820) is a healthcare organization registered as a pain medicine in Tyler, Texas and active in the NPI registry since February 2007. The organization lists Jonathan Blau, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1073653820
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameJONATHAN BLAU MD PA
Location Address1814 ROSELAND BLVD, SUITE 200Tyler, TX 75701-4234
Mailing AddressPo Box 6547Tyler, TX 75711-6547 · (903) 593-6500 · Fax (903) 531-9535
Phone(903) 593-6500
Fax(903) 531-9535
Organization SubpartNo
Authorized OfficialJonathan BlauOwner Physician · (903) 593-6500
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 27, 2010
✔ NPI 1073653820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in TX · J4721
Definition
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.
1814 ROSELAND BLVD, Tyler, TX 75701
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Other Identifiers 4

Medicare ID-Type Unspecified8B2513TX
Medicare UPINF69130TX
Medicaid163743101TX
Medicare NSC6264980001TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN KAY BASS-FINCK PA
Physician Assistant
1814 ROSELAND BLVD, SUITE 200
TYLER, TX 75701
Smith County (903) 593-6500
SHERI KAY STILLWELL LCSW
Social Worker (Clinical)
1814 ROSELAND BLVD, SUITE 200
TYLER, TX 75701
Smith County (903) 531-2500
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1814 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 526-1993
CLAY MCCOY
Physical Therapy Assistant
1814 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 525-3300
JAMES P MICHAELS MD PA
Pain Medicine (Interventional Pain Medicine)
1814 ROSELAND BLVD, SUITE 300
TYLER, TX 75701
Smith County (903) 597-2508
DAVID HUSTON P.A.
Physician Assistant
1814 ROSELAND BLVD, SUITE 200
TYLER, TX 75701
Smith County (903) 531-2500
ARMANDO LOERA PT
Physical Therapist
1814 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 594-7400
AMANDA NICOLE PIPER PT
Physical Therapist
1814 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 594-7400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Blau MD PA's NPI number?

The NPI number for Jonathan Blau MD PA is 1073653820. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Jonathan Blau MD PA located?

Jonathan Blau MD PA is located at 1814 Roseland Blvd Suite 200, Tyler, TX 75701. The listed phone number is (903) 593-6500.

What is Jonathan Blau MD PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Jonathan Blau MD PA was last updated on July 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.