BLAKE LYMAN (NPI# 1497184188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497184188 |
| Entity Type | Individual |
| Full Name | BLAKE LYMAN |
| Credential | PA-C |
| Practice Address |
1552 6th Street Adult Medical Care Clinic Twentynine Palms CA 92278 |
| Practice Telephone | 7608302621 |
| Mailing Telephone | 7608302621 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1552 6TH STREET ADULT MEDICAL CARE CLINIC |
| City | TWENTYNINE PALMS |
| State | CA |
| Zip Code | 92278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143711 | Michelle Alexandra Engel | Student in an Organized Health Care Education/Training Program | Twentynine Palms Marine Base, 1591, Apo, AA 92278 | 2019-06-20 |
| 1427544659 | Matthew John Thacker | Dentist | 1591 Griffin Rd., Twentynine Palms, CA 92278 | 2018-07-11 |
| 1922541986 | Joshua Gumpert | Physician Assistant | 1560 6th St, 2nd Deck, Twentynine Palms, CA 92278 | 2016-11-23 |
| 1427441112 | Joshua Bellavia | Military Health Care Provider | Commanding Officer Naval Hospital Twentynine Palms, Attn: Joshua Bellavia Box 788250, Twentynine Palms, CA 92278 | 2015-03-05 |
| 1730583063 | Erric Leif Apeland | Military Health Care Provider | 1436 Third Street, Mcagcc, Twentynine Palms, CA 92278 | 2014-10-15 |
| 1609286137 | Jason Ulaner | Chiropractor | 1145 Sturgis St, Twentynine Palms, CA 92278 | 2014-05-06 |
| 1013267996 | Alonzo Jamelle Shields | Military Health Care Provider | Regimental Aid Station, 7th Marine Hq Ras, Twentynine Palms, CA 92278 | 2012-09-18 |
| 1184996134 | William John Becker | Physician Assistant | Mcagcc, Building 1538, Twnetynine Palms, CA 92278 | 2012-02-07 |
| 1962666776 | Michael D Vanmanen | Orthopaedic Surgery | Bldg 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2008-07-11 |
| 1427235233 | Marion Henry | Surgery | Sturgis Ave and 1st Street, Marine Corps Air Ground Combat Center, Twentynine Palms, CA 92278 | 2008-01-23 |
| Find all providers in zip 92278 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861961955 | Golam Subhani Chowdhury | Physician Assistant | 1st Marine Division 7th Marine Regiment, Twentynine Palms, CA 92277 | 2018-11-19 |
| 1922541986 | Joshua Gumpert | Physician Assistant | 1560 6th St, 2nd Deck, Twentynine Palms, CA 92278 | 2016-11-23 |
| 1356629810 | Christopher Lee Conboy | Physician Assistant | 1145 Sturgis Rd., Naval Hospital Twentynine Palms, Twentynine Palms, CA 92278-1831 | 2011-08-01 |
| 1649227307 | Ian J Crow | Physician Assistant | 3521a Cannon Dr, Twentynine Palms, CA 92277-9470 | 2006-05-28 |
| 1982145710 | Aly Goldfarb | Physician Assistant | 1145 Sturgis Rd, Box 788250, Twentynine Palms, CA 92278-8250 | 2017-03-13 |
| 1497196729 | Moheen Suna-sitto | Physician Assistant | 72724 29 Palms Hwy, Suite 103, Twentynine Palms, CA 92277-2417 | 2013-07-15 |
| 1386946853 | Kara Michele Wortley | Physician Assistant | 1145 Sturgis Road, Naval Hospital Twentynine Palms, Twentynine Palms, CA 92278-1831 | 2010-12-03 |
| 1932259769 | David Michael Viayra | Physician Assistant | 1145 Sturgis Street, Naval Hospital Attn Proffesional Affairs Bldg, Twentynine Palms, CA 92278-8250 | 2007-01-12 |
| 1750333613 | Anne Michele Lopez | Physician Assistant | Bldg 1145 Sturgis Street, Naval Hospital Attn Professional Affairs, Twentynine Palms, CA 92278-8252 | 2006-05-17 |
| 1912969205 | David Robert Bird | Physician Assistant | Bldg 1145 Sturgis Street, Naval Hospital Attn Professional Affairs, Twentynine Palms, CA 92278-8250 | 2006-04-04 |
| Find all providers in TWENTYNINE PALMS | ||||
| City | TWENTYNINE PALMS |
| Zip Code | 92278 |
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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.