JEFFREY BLAKE (NPI# 1093734451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093734451 |
| Entity Type | Individual |
| Full Name | JEFFREY BLAKE |
| Credential | MD |
| Practice Address |
317 Martin Luther King Jr Way Tacoma WA 98405-4234 |
| Mailing Address |
315 Martin Luther King Jr Way Tacoma WA 98405-4234 |
| Practice Telephone | 2534031418 |
| Mailing Telephone | 2534031418 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00044860 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003827239 | Jeffrey Blake | Social Worker | 22 Monument Square, #403, Portland, ME 04101-3914 | 2006-08-11 |
| 1407834781 | Jeffrey Lee Blake | Physical Therapist | 1714 17th St, Santa Monica, CA 90404-4410 | 2006-01-06 |
| 1477545127 | Jeffrey M Blake | Obstetrics & Gynecology | 141 W 22nd St Ste 309, Anderson, IN 46016-4389 | 2005-08-18 |
| 1639616295 | Jeffrey Blake | Behavior Technician | 474 W 200 N, St George, UT 84770-4505 | 2017-01-20 |
| 1164431185 | Jeffrey W Blake | Internal Medicine | 1620 Nectarine St, Fernandina Beach, FL 32034-4724 | 2006-08-07 |
| 1992792980 | Jeffrey D. Blake | Obstetrics & Gynecology | 250 Green St, Gardner, MA 01440-1396 | 2005-10-04 |
| Street Address |
317 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057300 | Elizabeth Nuhn Hasert | Pediatrics | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2006-03-16 |
| 1598381709 | Rachel Barrett | Dietitian, Registered | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-06-23 |
| 1295367886 | Melissa C Pettini | Registered Nurse | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-02-11 |
| 1124513718 | Katrina Lynn Sterling | Registered Nurse | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2018-06-26 |
| 1699263764 | Cheyenne Dewey | Genetic Counselor, MS | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2018-04-24 |
| 1386187151 | Heidi Kathleen Vladyka | Occupational Therapist | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2016-11-28 |
| 1215309414 | Molly Rooy | Dietitian, Registered | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2015-10-27 |
| 1730573478 | Luke Warnken | Specialist/Technologist | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2015-03-19 |
| 1821391210 | Jodi Sacken | Physician Assistant | 317 Martin Luther King Jr Way, Tacoma, WA 98405 | 2010-12-07 |
| 1255652731 | Ashley T Jones | Pediatrics | 317 Martin Luther King Jr Way, Mary Bridge Children's Hospital, Tacoma, WA 98405 | 2010-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252011 | T-town Pediatrics Pllc | Pediatrics | 6002 Westgate Blvd Ste 260, Tacoma, WA 98406-2571 | 2020-10-15 |
| 1003357427 | Alexander L Bowers | Pediatrics | 9040a Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-1000 | 2017-03-18 |
| 1063873933 | Paul Patterson | Pediatrics | 9040 Jackson Ave Department of Pediatrics Mamc, Tacoma, WA 98431-0001 | 2016-03-18 |
| 1730560731 | Danielle Ashley Coleman | Pediatrics | 316 Martin Luther King Jr Way Ste 212, Tacoma, WA 98405-4254 | 2015-06-15 |
| 1881013860 | Amanda P Williams | Pediatrics | 317 Martin L King Jr Way, Tacoma, WA 98405-4234 | 2014-04-07 |
| 1174966477 | Matthew Timlin | Pediatrics | 9040 Jackson Ave Pediatric Critical Care Dept, Tacoma, WA 98431-1100 | 2013-04-17 |
| 1699006320 | Charlotte Schnellbacher | Pediatrics | Madigan Army Medical Center Pediatric Clinic, Bldg 9040 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2010-01-20 |
| 1205096260 | Susan M Mosier | Pediatrics | 9040 Jackson Ave Department of Pediatrics, Tacoma, WA 98431 | 2008-06-12 |
| 1609061605 | Alan Heckler | Pediatrics | Madigan Healthcare System Dept of Pediatrics, 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2007-09-12 |
| 1023216983 | Kathryn Taylor Gattone | Pediatrics | Fitzsimmons Dr Bldg 9040, Attn: Mchj-p, Tacoma, WA 98431-0001 | 2007-07-03 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.