GEORGE E. BLAKE (NPI# 1174671820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174671820 |
Entity Type | Individual |
Full Name | GEORGE E. BLAKE |
Credential | MD |
Practice Address |
4760 E Galbraith Rd Ste 205 Cincinnati OH 45236 |
Mailing Address |
4760 E Galbraith Rd Ste 205 Cincinnati OH 45236-6704 |
Practice Telephone | 5139850741 |
Practice Fax Number | 5139850748 |
Mailing Telephone | 5139850741 |
Enumeration Date | 2007-01-08 |
Last Update Date | 2018-07-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35130836 | OH | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01068537A | IN | Allopathic & Osteopathic Physicians |
N | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
35130836 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200992360 | 05 | |
FL | PTAN | HQ800Z | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376152124 | George Blake | Meals | 581 Kamoku St Apt 2008, Honolulu, HI 96826-5210 | 2020-07-28 |
1417036641 | George Jacob Blake | Psychiatry & Neurology | 5153 E 51st St, Suite 100, Tulsa, OK 74135-7456 | 2006-11-06 |
1720081268 | George Dale Blake Jr. | Dentist | 229 Half Moon Way, Runaway Bay, TX 76426-9773 | 2005-05-30 |
1962449587 | George B Blake | Otolaryngology | 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479 | 2006-06-01 |
Street Address |
4760 E GALBRAITH RD STE 205 |
City | CINCINNATI |
State | OH |
Zip Code | 45236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578858825 | Francisco Ricardo Lopez Menendez | Internal Medicine | 4760 E Galbraith Rd Ste 205, Cincinnati, OH 45236 | 2011-06-15 |
1447440474 | Umashankar Lakshmanadoss | Internal Medicine | 4760 E Galbraith Rd Ste 205, Cincinnati, OH 45236-6704 | 2007-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
Find all providers in zip 45236 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053859124 | Andrew Michael Dominic Crean | Internal Medicine | Division of Cardiovascular Health And, 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-02-08 |
1124421557 | Trihealth Physcian Institute | Internal Medicine | 2866 Boudinot Ave, Cincinnati, OH 45238-7400 | 2014-09-30 |
1700143971 | Odayme Quesada | Internal Medicine | 11140 Montgomery Rd Ste 1300, Cincinnati, OH 45249-2309 | 2012-04-12 |
1487889945 | Dilesh Patel | Internal Medicine | 10506 Montgomery Rd Ste 301a, Cincinnati, OH 45242-4400 | 2009-05-27 |
1548404171 | Paul George Geiss | Internal Medicine | 6017 W Fork Rd, Cincinnati, OH 45247-5772 | 2009-04-27 |
1073711826 | Dylan Lauri Steen | Internal Medicine | 243 Goodman St., Ml 0542, Cincinnati, OH 45219 | 2007-07-03 |
1629190467 | Marshall W Winner IIi | Internal Medicine | 3219 Clifton Ave Ste 400, Cincinnati, OH 45220-3049 | 2007-04-04 |
1225174824 | Cardiac Care Associates | Internal Medicine | 2852 Boudinot Ave, Cincinnati, OH 45238-2461 | 2007-01-30 |
1790867810 | Cincinnati Heart Group Inc | Internal Medicine | 625 Eden Park Drive, Suite 340, Cincinnati, OH 45202 | 2006-10-19 |
1427025055 | Dean Kereiakes | Internal Medicine | 2123 Auburn Ave Ste 136, Cincinnati, OH 45219-2906 | 2006-03-02 |
Find all providers in CINCINNATI |
City | CINCINNATI |
Zip Code | 45236 |
Please comment or provide details below to improve the information on GEORGE E. BLAKE.
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.