JON KEVIN BLAKE MD (NPI# 1215559331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215559331 |
| Entity Type | Organization |
| Organization Name | JON KEVIN BLAKE MD |
| Practice Address |
925 E Main St Gas City IN 46933-1550 |
| Mailing Address |
Po Box 1889 Muncie IN 47308-1889 |
| Practice Telephone | 7656747889 |
| Mailing Telephone | 7652840493 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | JON BLAKE (AUTHORIZED OFFICIAL/PHYSICIAN) |
| Authorized Official Telephone | 7656747889 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jon K. Blake MD | Doing Business As Name - Organization |
| Street Address |
925 E MAIN ST |
| City | GAS CITY |
| State | IN |
| Zip Code | 46933-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700846193 | Jon Kevin Blake | General Practice | 925 E Main St, Gas City, IN 46933-1550 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508140898 | George Junior Republic In Indiana | Counselor | 3925 S. Garthwaite Rd, Gas City, IN 46933 | 2011-10-05 |
| 1194828897 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 301 Emain St, Gas City, IN 46933 | 2006-09-07 |
| 1720060957 | Steven Poe | Emergency Medicine | 330 N Wabash, Marion, IN 46933 | 2005-11-15 |
| 1619941572 | Julie Willmert | Specialist/Technologist | 205 E North H St, Gas City, IN 46933-1147 | 2006-02-15 |
| 1073961231 | Jenny Schamber | Counselor | 3925 S Garthwaite Rd, Gas City, IN 46933-1155 | 2016-05-28 |
| 1376598078 | Grant County Auditor | Ambulance | 3921 S Garthwaite Rd, Gas City, IN 46933-1155 | 2006-05-23 |
| 1720620974 | Kathryn Hilary Curtis-long | Social Worker | 3925 S Garthwaite Rd, Gas City, IN 46933-1155 | 2019-10-09 |
| 1669022257 | Madisen Paige Rodarte | Social Worker | 3925 S Garthwaite Rd, Gas City, IN 46933-1155 | 2019-09-16 |
| 1033762117 | Daniel Vinson | Marriage & Family Therapist | 3925 S Garthwaite Rd, Gas City, IN 46933-1155 | 2019-07-18 |
| 1912550062 | Brandy Stark | Social Worker | 3925 S Garthwaite Rd, Gas City, IN 46933-1155 | 2019-07-18 |
| Find all providers in zip 46933 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700846193 | Jon Kevin Blake | General Practice | 925 E Main St, Gas City, IN 46933-1550 | 2006-03-28 |
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|---|---|---|---|---|
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| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
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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.