JEFFREY M BLAKE (NPI# 1477545127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477545127 |
| Entity Type | Individual |
| Full Name | JEFFREY M BLAKE |
| Credential | MD |
| Practice Address |
141 W 22nd St Ste 309 Anderson IN 46016-4389 |
| Mailing Address |
8840 Commerce Park Pl Ste E Indianapolis IN 46268-3129 |
| Practice Telephone | 7656468569 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
01040057A | IN | Allopathic & Osteopathic Physicians |
| N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
01040057A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100172960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003827239 | Jeffrey Blake | Social Worker | 22 Monument Square, #403, Portland, ME 04101-3914 | 2006-08-11 |
| 1407834781 | Jeffrey Lee Blake | Physical Therapist | 1714 17th St, Santa Monica, CA 90404-4410 | 2006-01-06 |
| 1639616295 | Jeffrey Blake | Behavior Technician | 474 W 200 N, St George, UT 84770-4505 | 2017-01-20 |
| 1164431185 | Jeffrey W Blake | Internal Medicine | 1620 Nectarine St, Fernandina Beach, FL 32034-4724 | 2006-08-07 |
| 1093734451 | Jeffrey Blake | Pediatrics | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2006-07-18 |
| 1992792980 | Jeffrey D. Blake | Obstetrics & Gynecology | 250 Green St, Gardner, MA 01440-1396 | 2005-10-04 |
| Street Address |
141 W 22ND ST STE 309 |
| City | ANDERSON |
| State | IN |
| Zip Code | 46016-4389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962686196 | Marilyn E Frazier | Nurse Practitioner | 141 W 22nd St Ste 309, Anderson, IN 46016-4389 | 2007-12-24 |
| 1548284128 | Terri L Kyle | Nurse Practitioner | 141 W 22nd St Ste 309, Anderson, IN 46016-4389 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639737356 | Alicia Borer | Optometrist | Macha Family Eye Care, 1537 S. Scatterfield Rd. Suite B, Anderson, IN 46016 | 2019-05-29 |
| 1740681469 | Melissa Dotson | Counselor | 2003 W 12th St, Anderson, IN 46016 | 2014-09-12 |
| 1811164239 | Vicky Lea Lawson | Technician/Technologist | 1503 Rev Jt Menifee Street, Anderson, IN 46016 | 2008-05-14 |
| 1023130812 | Robert L Loudermilk | Dentist | 226 West Historic Eighth Street, Anderson, IN 46016 | 2007-04-04 |
| 1215089297 | Chiropractic Works of Indiana Inc. | Chiropractor | 1541 S Scatterfield Rd, Suite A, Anderson, IN 46016 | 2007-01-18 |
| 1790851509 | Robert W Anderson | Internal Medicine | 2101 Jackson Street, Suite 111, Anderson, IN 46016 | 2006-11-27 |
| 1770668030 | Madison County Community Health Centers Inc | Family Medicine | 1547 Ohio Avenue, Anderson, IN 46016 | 2006-10-26 |
| 1437178035 | Teri L Schulz | Pediatrics | 2020 Meridian St Ste 320, Anderson, IN 46016 | 2006-07-18 |
| 1750331195 | Steven C. Kim | Urology | 141 W. 22nd St., Suite 203, Anderson, IN 46016 | 2006-05-10 |
| 1215905773 | Hazim Rimawi | Internal Medicine | 2020 Meridian St Ste 110, Anderson, IN 46016 | 2006-03-10 |
| Find all providers in zip 46016 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750484994 | James O. Herbert | Obstetrics & Gynecology | 2000 E Greenville St, Suite 2550, Anderson, SC 29621-1580 | 2006-09-06 |
| 1912000142 | Mandy L Mitchell | Obstetrics & Gynecology | 2000 E Greenville St, Suite 4500, Anderson, SC 29621-1580 | 2006-09-06 |
| 1609979848 | George E. Cothran | Obstetrics & Gynecology | 2000 E Greenville St, Suite 2550, Anderson, SC 29621-1580 | 2006-09-06 |
| 1104929355 | Robert Blanton Belk | Obstetrics & Gynecology | 2000 E Greenville St, Suite 2000, Anderson, SC 29621-1580 | 2006-09-06 |
| 1457360356 | Saint John Health System | Obstetrics & Gynecology | 2020 Meridian St, Suite 220, Anderson, IN 46016-4346 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649486 | Precise Telehealth Inc | Obstetrics & Gynecology | 1001 Calumet Avenue, Dyer, IN 46311-1596 | 2020-08-12 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1528369428 | Center for Optimal Health | Obstetrics & Gynecology | 415 W First Street, Bloomington, IN 47403 | 2010-11-09 |
| 1578894697 | Joseph Robert Gasparovic | Obstetrics & Gynecology | 219 Carnoustie Ct, Schererville, IN 46375-2919 | 2010-01-29 |
| 1396936365 | Diana M Okon, M.d. PC | Obstetrics & Gynecology | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2007-08-06 |
| 1841417110 | Jennifer Joy Hamner | Obstetrics & Gynecology | 234 E 9th St Apt 106, Indianapolis, IN 46204-1163 | 2007-04-19 |
| 1619006772 | Marvin Eugene Eastlund | Obstetrics & Gynecology | 5204 Tatum Ct, Fort Wayne, IN 46835-4633 | 2007-03-05 |
| 1477693307 | Paul Eugene Jarrett Jr. | Obstetrics & Gynecology | 9906 E 200 S, Zionsville, IN 46077-9702 | 2007-02-08 |
| 1225182272 | Connersville Obgyn Inc | Obstetrics & Gynecology | 1619 N Grand Ave, Connersville, IN 47331-2230 | 2007-01-23 |
| 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.