DR. AMY BLAKE (NPI# 1386148708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386148708 |
| Entity Type | Individual |
| Full Name | DR. AMY BLAKE |
| Other Name | AMY TEMAS |
| Credential | MD |
| Practice Address |
410 Market St Ste 400 Chapel Hill NC 27516-4061 |
| Practice Telephone | 9849743900 |
| Practice Fax Number | 9849743692 |
| Mailing Telephone | 9849743692 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 237994 | NC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 237994 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 S Kings Dr Fl 3, Charlotte, NC 282072134 | 7044461242 | 7044461241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821200270 | Amy Michelle Blake | Specialist/Technologist | 37770 State Route 124, Pomeroy, OH 45769-9302 | 2007-05-05 |
| 1164407367 | Amy M Blake | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2005-12-09 |
| 1003315615 | Amy Jo Blake | Behavior Technician | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2018-02-09 |
| 1336528751 | Amy Blake | Dentist | 2976 Summit St Ste 201, Oakland, CA 94609-3405 | 2015-05-19 |
| 1063838464 | Amy Blake | Nurse Practitioner | 340 Webb Smith Dr, Colfax, LA 71417-1910 | 2014-03-10 |
| 1871737668 | Amy C Blake | Pediatrics | 759 Chestnut Street, W2810, Springfield, MA 01107-1619 | 2009-04-24 |
| 1427273234 | Amy Blake | Speech-Language Pathologist | 350 South Main Street, Suite 315 Invo Healthcare Associates, Doylestown, PA 18901 | 2007-04-16 |
| 1437293099 | Amy Blake | Social Worker | 98 North Ave, Suite 30, Skowhegan, ME 04976-1942 | 2007-02-16 |
| 1013978535 | Amy Susan Blake | Nurse Practitioner | 680 Blair Mill Rd, Horsham, PA 19044-2223 | 2006-04-01 |
| Street Address |
410 MARKET ST STE 400 |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27516-4061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508846403 | Rajat Varma | Dermatology | 410 Market St Ste 400, Unc Dept of Dermatology, Chapel Hill, NC 27516-4061 | 2006-01-18 |
| 1245894492 | Helen Powell Bode | Student in an Organized Health Care Education/Training Program | 410 Market St Ste 400, Chapel Hill, NC 27516-4061 | 2019-04-23 |
| 1801359161 | Taylor Jaclyn Zuber | Student in an Organized Health Care Education/Training Program | 410 Market St Ste 400, Chapel Hill, NC 27516-4061 | 2019-04-12 |
| 1295296036 | Jonathan Alexander Miles | Student in an Organized Health Care Education/Training Program | 410 Market St Ste 400, Chapel Hill, NC 27516-4061 | 2019-03-26 |
| 1548720345 | Lindsay Paige Osborn | Student in an Organized Health Care Education/Training Program | 410 Market St Ste 400, Chapel Hill, NC 27516-4061 | 2019-03-20 |
| 1386103463 | Karina M Paci | Student in an Organized Health Care Education/Training Program | 410 Market St Ste 400, Chapel Hill, NC 27516-4061 | 2019-03-18 |
| 1720584824 | Steven Anthony Vernali | Student in an Organized Health Care Education/Training Program | 410 Market St Ste 400, Chapel Hill, NC 27516-4061 | 2018-04-05 |
| 1831693894 | Lauren Nami Crouse | Student in an Organized Health Care Education/Training Program | 410 Market St Ste 400, Chapel Hill, NC 27516-4061 | 2018-03-22 |
| 1457855835 | Frank Lacy | Student in an Organized Health Care Education/Training Program | 410 Market St Ste 400, Chapel Hill, NC 27516-4061 | 2018-03-21 |
| 1508382953 | Sara Edwards Turner | Physician Assistant | 410 Market St Ste 400, Chapel Hill, NC 27516-4061 | 2017-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599309 | Brandon Ali Koroni | Dentist | 385 S Columbia St., Chapel Hill, NC 27516 | 2019-10-11 |
| 1225512718 | Brian Pietrosimone | Specialist/Technologist | University of North Carolina 209 Fetzer Hall, Chapel Hill, NC 27516 | 2018-09-20 |
| 1639691553 | Alexander S. Arab, Dba, Ims Evals, LLC | Physical Therapist | 103 Springhill Forest Place, Chapel Hill, NC 27516 | 2017-07-12 |
| 1730618000 | William E Sanders | Physical Therapist | 205 Weyer Dr., Chapel Hill, NC 27516 | 2017-06-08 |
| 1700336955 | Chatham Pediatric Dentistry | Dentist | 79 Falling Springs Dr., Suite 120, Chapel Hill, NC 27516 | 2016-10-12 |
| 1295152601 | Chun Xiang Li | Nurse Practitioner | 128 North Fields Circle, Chapel Hill, NC 27516 | 2014-03-24 |
| 1518211705 | Abigail Debra Zeveloff | Counselor | 1209b Hillsborough Rd, Chapel Hill, NC 27516 | 2012-11-09 |
| 1124315411 | Eric James Arehart | Pediatrics | 103 Crofton Springs Pl, Chapel Hill, NC 27516 | 2011-07-07 |
| 1336440312 | Amy Lynn Ford | Physician Assistant | 101 Manning Drive Cb #7160, Chapel Hill, NC 27516 | 2010-11-08 |
| 1689807224 | Natasha Leigh Blazer | Counselor | 110 New Stateside Dr, Chapel Hill, NC 27516 | 2009-08-31 |
| Find all providers in zip 27516 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235335027 | Chris Guest Adigun | Dermatology | 58 Chapelton Court, Suite 120, Chapel Hill, NC 27516-8487 | 2007-06-27 |
| 1316010861 | Chih Lynn Cheng | Dermatology | 2238 Nelson Hwy #100, Chapel Hill, NC 27517-8914 | 2006-11-15 |
| 1679655534 | Leon Carey Hodges Jr. | Dermatology | 2 Davis Love Dr, Chapel Hill, NC 27517-8956 | 2006-10-20 |
| 1447289699 | Nadia Sophia Wang | Dermatology | 2238 Nelson Hwy Ste 100, Chapel Hill, NC 27517-8914 | 2006-07-01 |
| 1619940913 | Sue Ellen Cox | Dermatology | 5821 Farrington Rd, Suite 101, Chapel Hill, NC 27517-9901 | 2006-02-08 |
| 1407837271 | Jennelle Saunders Williams | Dermatology | 2238 Nelson Hwy, Ste 100, Chapel Hill, NC 27517-8914 | 2005-11-09 |
| 1043207442 | Aida M Lugo-somolinos | Dermatology | 3100 Thurston-bowles, Unc Cb#7287, Chapel Hill, NC 27599-7287 | 2005-09-30 |
| 1710549076 | Alexandria Nicole Dascoli | Dermatology | 2238 Nelson Hwy Ste 100, Chapel Hill, NC 27517-8914 | 2019-07-07 |
| 1548792328 | Ana Corcimaru | Dermatology | 410 Market St Ste 400, Chapel Hill, NC 27516 | 2017-03-30 |
| 1114470523 | Dermatology & Laser Center of Chapel Hill, Pllc | Dermatology | 58 Chapelton Court, Suite 120, Chapel Hill, NC 27516 | 2016-08-02 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27516 |
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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.