DOUGLAS BLAKE


Address: 591 Eddy St, Dept of Anesthesia, Providence, RI 02903-4922
Phone: 4014442284

DOUGLAS BLAKE (NPI# 1104883123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104883123
Entity Type Individual
Full Name DOUGLAS BLAKE
Credential MD
Practice Address 591 Eddy St
Dept of Anesthesia
Providence
RI 02903-4922
Mailing Address 690 Canton St
Ste 325
Westwood
MA 02090-2324
Practice Telephone 4014442284
Practice Fax Number 4014445083
Mailing Telephone 7814077713
Mailing Fax Number 7814070998
Enumeration Date 2006-04-26
Last Update Date 2016-04-15
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology RI8815 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI DB12516 05

Other Providers DOUGLAS BLAKE

NPI Name Taxonomy Address Enumeration
1871023051 Douglas Lee Blake Family Medicine 210 W South St, Arlington, TX 76010-7134 2017-06-19

Office Location

Street Address 591 EDDY ST
DEPT OF ANESTHESIA
City PROVIDENCE
State RI
Zip Code 02903-4922

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475755 Sarah Fellows Student in an Organized Health Care Education/Training Program 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 2020-10-20
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
Find all providers in zip 02903

Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356738637 Shakir Mclean Anesthesiology 23 Creighton St, Apt. 1, Providence, RI 02906-1518 2015-04-23
1336375898 Emily Beth Goodwin Anesthesiology 1 Virginia Ave, Suite 201, Providence, RI 02905-4427 2009-06-10
1376780247 Tariq M Naseem Anesthesiology 593 Eddy St # 129, Providence, RI 02903-4923 2009-01-14
1407807902 Milton Bizzelle Boles Anesthesiology 830 Chalkstone Ave., Va Medical Center, Providence, RI 02908-4734 2006-05-12
1396302147 Kenneth John Anesthesiology 593 Eddy St, Providence, RI 02903-4923 2019-05-28
1790342376 Abigail Finger Anesthesiology 593 Eddy St, Providence, RI 02903-4923 2019-05-20
1508420571 Patrick Van Kirk Anesthesiology 593 Eddy St, Providence, RI 02903-4923 2019-04-25
1467915355 Gaelle Antoine Anesthesiology 593 Eddy St, Providence, RI 02903-4923 2019-04-09
1851853972 Clarence Chow Anesthesiology 593 Eddy Street, Davol 129, Providence, RI 02903 2019-04-06
1457813925 Andrew Dana Winegarner Anesthesiology 593 Eddy St, Providence, RI 02903-4923 2019-04-03
Find all providers in PROVIDENCE

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City PROVIDENCE
Zip Code 02903

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Dataset Information

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.

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