JOHN EVERETT BLAKE III (NPI# 1629290689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629290689 |
Entity Type | Individual |
Full Name | JOHN EVERETT BLAKE III |
Credential | MD |
Practice Address |
281 N. Lyerly St. Suite 200 Chattanooga TN 37404 |
Practice Telephone | 4236980850 |
Practice Fax Number | 4236980511 |
Mailing Telephone | 4236980850 |
Mailing Fax Number | 4236980511 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2017-03-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 26794 | AL | Allopathic & Osteopathic Physicians |
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD26794 | AL | Allopathic & Osteopathic Physicians |
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD44681 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1514244 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760874135 | John Scott Blake | Pharmacist | 624 Texas St Apt 403, Shreveport, LA 71101-3553 | 2015-02-23 |
1780726570 | John A Blake | Physician Assistant | 712 Village Rd Sw Ste 104, Shallotte, NC 28470-3449 | 2007-02-12 |
1982705877 | John Robert Blake | Psychiatry & Neurology | 170 Cold Soil Rd, Princeton, NJ 08540-4202 | 2006-09-26 |
1447220363 | John R Blake Jr. | Family Medicine | 4306 Asheville Hwy, Knoxville, TN 37914-3601 | 2006-01-24 |
1598039729 | John Robert Blake | Pharmacist | 929 Nw Garden Valley Blvd, Roseburg, OR 97471-6508 | 2012-03-06 |
1497938096 | John Blake | Nurse Practitioner | 2605 W Swann Ave, Ste 600, Tampa, FL 33609-4039 | 2007-12-06 |
1861510570 | John L. Blake | Dentist | 455 E Columbia St, Long Beach, CA 90806-1620 | 2007-03-27 |
1114058401 | John Scott Blake | Physical Therapy Assistant | 501 E Main St, Waynesboro Hospital - Physical Medicine Department, Waynesboro, PA 17268-2353 | 2007-03-08 |
1184785149 | John Paul Blake I | Psychiatry & Neurology | 211 S Centennial St, High Point, NC 27260-5215 | 2006-12-13 |
1740364199 | John P Blake | Dentist | 1251 S Lapeer Rd, Suite 201, Lake Orion, MI 48360-1414 | 2006-10-24 |
Street Address |
281 N. LYERLY ST. SUITE 200 |
City | CHATTANOOGA |
State | TN |
Zip Code | 37404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518010537 | Todd E Stanford | Physician Assistant | 281 N. Lyerly St., Suite 200, Chattanooga, TN 37404 | 2007-01-21 |
1003216623 | Rachel Burchell Webb | Nurse Practitioner | 281 N. Lyerly St., Suite 200, Chattanooga, TN 37404 | 2014-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
Find all providers in zip 37404 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992234157 | Wellness First Pain Management | Anesthesiology | 5600 Brainerd Rd Ste B14, Chattanooga, TN 37411-5396 | 2017-06-09 |
1689017360 | Candace Lanier Mckee | Anesthesiology | 2415 Mccallie Ave, Chattanooga, TN 37404 | 2013-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
1114492626 | George A Mears IIi | Anesthesiology | 1934 Alcoa Hwy Ste D170, Knoxville, TN 37920-1525 | 2018-10-11 |
1316449903 | Ken Homolya Md LLC | Anesthesiology | 4230 Harding Pike Ste 807, Nashville, TN 37205-4900 | 2018-02-28 |
1629581574 | Appa LLC | Anesthesiology | 431 Park Village Rd Ste 103, Knoxville, TN 37923-3806 | 2017-11-14 |
1467849943 | Neeraj Sriram | Anesthesiology | 8115 Isabella Ln Ste 8, Brentwood, TN 37027-9110 | 2015-04-22 |
1306237938 | Lifelinc Pain Management Pllc | Anesthesiology | 308 Northcrest Dr, Springfield, TN 37172-3963 | 2015-02-18 |
1598195539 | Medmd Interventional Care PC | Anesthesiology | 314 Cool Springs Blvd Ste 100, Franklin, TN 37067-6420 | 2013-11-12 |
1144563032 | Pain Management Group, P.C. (the) | Anesthesiology | 320 New Shackle Island Rd, Hendersonville, TN 37075 | 2013-03-29 |
1033493184 | Middle Tennessee Pain Management | Anesthesiology | 604 N Chancery St, Mcminnville, TN 37110-2054 | 2011-10-07 |
1912281379 | Pca Pain Care Center of Murfreesboro, Pllc | Anesthesiology | 1608 Williams Drive, 101b, Murfreesboro, TN 37129-0558 | 2011-10-04 |
Find all providers with the same taxonomy |
City | CHATTANOOGA |
Zip Code | 37404 |
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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.