THOMAS B BLAKE III MD PA (NPI# 1477857670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477857670 |
| Entity Type | Organization |
| Organization Name | THOMAS B BLAKE III MD PA |
| Practice Address |
331 N Maitland Ave Ste A-2 Maitland FL 32751-4762 |
| Practice Telephone | 4076295141 |
| Practice Fax Number | 4076295858 |
| Mailing Telephone | 4076295141 |
| Mailing Fax Number | 4076295858 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | THOMAS B BLAKE III (OWNER/OFFICER) |
| Authorized Official Telephone | 4076295141 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
331 N MAITLAND AVE STE A-2 |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-4762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063404051 | William J Grisaitis | Dermatology | 331 N Maitland Ave, Building A Suite 5, Maitland, FL 32751-4762 | 2005-08-17 |
| 1104366426 | Orlando Advanced Primary Care LLC | Internal Medicine | 331 N Maitland Ave, Suite C-1, Maitland, FL 32751-4762 | 2017-03-06 |
| 1215473384 | Felice Center for Pediatric Rehabilitation - Maitland | Physical Therapist | 331 N Maitland Ave, Suite A-3, Maitland, FL 32751-4762 | 2017-01-13 |
| 1831375435 | William J Grisaitis Md Pa | Clinic/Center | 331 N Maitland Ave, #a-5, Maitland, FL 32751-4762 | 2008-01-14 |
| 1104962265 | Mark W. Todd | Dentist | 331 N Maitland Ave, Suite D-2, Maitland, FL 32751-4762 | 2007-01-29 |
| 1396897591 | Affiliated Eye Specialists P A | Specialist | 331 N Maitland Ave, Ste B2, Maitland, FL 32751-4753 | 2007-01-17 |
| 1215021050 | Andrew Aziz | Ophthalmology | 331 N Maitland Ave, Ste B2, Maitland, FL 32751-4762 | 2006-10-03 |
| 1538177936 | Marc Franklin Schwartz | Specialist | 331 N Maitland Ave, Ste B2, Maitland, FL 32751-4762 | 2006-08-03 |
| 1508873787 | Thomas B Blake IIi | Specialist | 331 N Maitland Ave, Suite A-2, Maitland, FL 32751-4762 | 2006-08-01 |
| 1508892076 | Shailaja Shyam Nadkarni | Specialist | 331 N Maitland Ave, Suite C-2, Maitland, FL 32751-4762 | 2006-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047670 | Annamarie Kondek | Colon & Rectal Surgery | 100 N Dean Rd Ste 200b, Orlando, FL 32825-3710 | 2019-11-18 |
| 1821645458 | Rs Surgical | Colon & Rectal Surgery | 4608 Swilcan Bridge Ln S, Jacksonville, FL 32224-5620 | 2019-08-19 |
| 1265927297 | South Florida Colorectal Institute Pllc | Colon & Rectal Surgery | 1600 S Federal Hwy Ste 420, Pompano Beach, FL 33062-7531 | 2018-06-22 |
| 1881036440 | Michael Jay Haimo | Colon & Rectal Surgery | 3020 Ne 44th St, Fort Lauderdale, FL 33308-5308 | 2013-07-24 |
| 1083973408 | Marco Ferrara | Colon & Rectal Surgery | 110 W Underwood St Ste A, Orlando, FL 32806 | 2012-05-04 |
| 1760748784 | Juliet June Ray | Colon & Rectal Surgery | 5503 S Congress Ave Ste 206, Atlantis, FL 33462-6626 | 2012-04-03 |
| 1033496401 | Dennis Alan Fried | Colon & Rectal Surgery | 680 Ternberry Forest Dr, The Villages, FL 32162-6446 | 2011-11-12 |
| 1992004600 | Robert John Yu | Colon & Rectal Surgery | 550 Memorial Cir Ste H, Ormond Beach, FL 32174-5055 | 2011-03-21 |
| 1487970679 | Anal Rectal Clinic Pa | Colon & Rectal Surgery | 40124 Highway 27 Ste 203, Davenport, FL 33837-5905 | 2010-04-13 |
| 1629210836 | Amit Sharma | Colon & Rectal Surgery | 2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 | 2009-04-02 |
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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.