Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Scott Blau, PA-C

Individual provider Physician Assistant · NPI 1093789414

Michael Scott Blau, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 1995, 31 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
31
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

190 Kimel Park Dr Ste 140
Winston Salem, NC 27103-6946
Phone: (336) 277-2225
Fax: (336) 277-2231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5826 Samet Dr Ste 103, High Point, NC 27265-3661 — (336) 905-6300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103449 (NC)

Record details

NPI number1093789414
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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