SARAH BLAKE (NPI# 1629139886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629139886 |
| Entity Type | Individual |
| Full Name | SARAH BLAKE |
| Credential | PA |
| Practice Address |
1021 Morehead Medical Dr Ste A Charlotte NC 28204-2990 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9804422000 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-01148 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Medical Park Dr, Ste 110, Concord, NC 280252948 | 7044036826 | |
| 945 N 5th St, Albemarle, NC 280013417 | 9803237790 | |
| 1550 Faulk St, Monroe, NC 281125086 | 9804420430 | |
| 4525 Cameron Valley Pkwy, Ste 3500, Charlotte, NC 282114369 | 7043028300 | |
| 1021 Morehead Medical Dr, Suite A, Charlotte, NC 282042990 | 9804422000 | |
| 1401 Matthews Township Pkwy, Suite 208, Matthews, NC 281055402 | 7043211002 | |
| 10826 Mallard Creek Rd, Suite 100, Charlotte, NC 282627782 | 7045930244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023576634 | Sarah Jo Blake | Registered Nurse | 2958 Pheasant Dr, Casper, WY 82604-4305 | 2019-03-04 |
| 1598202210 | Sarah Elizabeth Blake | Physical Therapy Assistant | 90 Humbert Ln Ste 1, Washington, PA 15301-6549 | 2017-01-20 |
| 1619003092 | Sarah Louise Blake | Anesthesiology | 3 Woodland Rd Ste 318, Stoneham, MA 02180-1713 | 2007-02-27 |
| 1205471810 | Sarah Blake | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2019-11-07 |
| 1508385667 | Sarah L Blake | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2017-09-10 |
| 1356769079 | Sarah Frances Blake | Hospitalist | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2014-03-31 |
| 1104158989 | Sarah Blake | Speech-Language Pathologist | 2134 Old Ashland City Rd, Clarksville, TN 37043-4972 | 2010-02-04 |
| 1689606295 | Sarah Elizabeth Blake | Psychiatry & Neurology | 3600 Olentangy River Rd, Bldg 480, Columbus, OH 43214-3437 | 2006-07-06 |
| 1114958915 | Sarah Judith Blake | Social Worker | 10632 Little Patuxent Pkwy, Ste 100, Columbia, MD 21044-3273 | 2006-07-06 |
| Street Address |
1021 MOREHEAD MEDICAL DR STE A |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965607 | Asim Amin | Internal Medicine | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2005-07-12 |
| 1457973117 | Ekaterina Kachur | Pharmacist | 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 | 2020-05-15 |
| 1346874302 | Raquel Brehun | Physician Assistant | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2020-02-28 |
| 1124665450 | Lisa Louise Gale | Occupational Therapy Assistant | 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 | 2019-12-05 |
| 1205489291 | Camille Garcia | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-07-19 |
| 1093368052 | Shree Bathani | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-07-18 |
| 1730748955 | Jai Narendra Patel | Pharmacist | 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 | 2019-06-11 |
| 1558820936 | Caroline Watt | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-03-15 |
| 1982161907 | Vina Sananikone | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-02-26 |
| 1588128102 | Maggie Corvaia | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| 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 |
|---|---|---|---|---|
| 1396351607 | Michael James Blackwell | Physician Assistant | 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 | 2020-09-22 |
| 1598371320 | Jonathan Byron Lively | Physician Assistant | 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 | 2020-09-17 |
| 1902415532 | Jacqueline Ellen Leyrer | Physician Assistant | 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 | 2020-07-29 |
| 1750908380 | Whitney Debroy | Physician Assistant | 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 | 2020-06-30 |
| 1972129302 | Ashley Nicole Short | Physician Assistant | 1022 E Worthington Ave, Charlotte, NC 28203-5760 | 2020-06-22 |
| 1558985176 | Courtney Claugus | Physician Assistant | 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 | 2020-05-29 |
| 1467071738 | Patrick James Quinn | Physician Assistant | 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 | 2020-04-15 |
| 1225660301 | Sunil Ranchhod Ghodasara | Physician Assistant | 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 | 2020-02-06 |
| 1225668601 | Emily Rebecca Markey | Physician Assistant | 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 | 2020-01-24 |
| 1639719586 | Abosede Elizabeth Adamson | Physician Assistant | 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 | 2020-01-08 |
| Find all providers in CHARLOTTE | ||||
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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.