DR. JEFFERY IRVING BLAKE (NPI# 1285899294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285899294 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY IRVING BLAKE |
| Credential | M.D. |
| Practice Address |
2216 S Shore Dr Erie PA 16505-2144 |
| Practice Telephone | 8144547447 |
| Mailing Telephone | 8144547447 |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2008-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD019328E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
2216 S SHORE DR |
| City | ERIE |
| State | PA |
| Zip Code | 16505-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| 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 |
|---|---|---|---|---|
| 1487851192 | Internal Medicine Associates of Northwestern Pa PC | Internal Medicine | 2931 Peach Str, Erie, PA 16508-1842 | 2007-06-27 |
| 1821036195 | Kevin Joseph Mikielski | Internal Medicine | 4002 Schaper Avenue, Suite A, Erie, PA 16508 | 2006-06-02 |
| 1730167487 | William L Mecca | Internal Medicine | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2006-01-04 |
| 1558349365 | David T. Borowski | Internal Medicine | 2315 Myrtle St., Suite 190, Erie, PA 16502-4604 | 2006-01-03 |
| 1285612010 | Jeffrey A Buetikofer | Internal Medicine | 2315 Myrtle Street, Suite 190, Erie, PA 16502-4604 | 2006-01-03 |
| 1518961564 | Paul Demjanenko | Internal Medicine | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2005-06-08 |
| 1518226158 | Jasmin Maria Martinez Castellanos | Internal Medicine | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2012-05-15 |
| 1013273739 | Mohamad Khaled Sabeh | Internal Medicine | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2012-04-06 |
| 1154641348 | Randy R Jeffrey | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507 | 2010-06-10 |
| 1225263577 | Jonathon Allen Wertz | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2009-05-15 |
| Find all providers in ERIE | ||||
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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.