RICHARD ALAN BLAKE (NPI# 1699702308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699702308 |
| Entity Type | Individual |
| Full Name | RICHARD ALAN BLAKE |
| Credential | M.D. |
| Practice Address |
1401 Harrodsburg Rd Suite A-300 Lexington KY 40504-3751 |
| Mailing Address |
Po Box 936 London KY 40743-0936 |
| Practice Telephone | 8592764429 |
| Practice Fax Number | 8592765939 |
| Mailing Telephone | 6063307840 |
| Mailing Fax Number | 6063307825 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
29029 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
29029 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64290299 | 05 | |
| KY | RR MEDICARE PIN | 06003363 | 01 |
| KY | MEDICARE LAB GROUP | 4000501 | 01 |
| KY | MEDICAID ASC GROUP | 36000818 | 01 |
| KY | MEDICAID LAB GROUP | 37903705 | 01 |
| KY | RR MEDICARE GROUP | CB5773 | 01 |
| KY | MEDICARE ASC GROUP | ASC1019 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174650071 | Richard Gary Blake | Technician/Technologist | 21835 Ventura Blvd, Woodland Hills, CA 91364-1838 | 2007-02-27 |
| 1972666774 | Richard Daniel Blake | Chiropractor | 8 Glen Road, Powerhouse Mall, W Lebanon, NH 03784 | 2006-12-19 |
| 1740235829 | Richard W. Blake | Physician Assistant | 3600 E Wickersham Way, Wasilla, AK 99654 | 2006-05-24 |
| 1295358356 | Richard Andrew Blake | Pharmacist | 800 Glenwood Ave Se, Atlanta, GA 30316-1814 | 2020-05-24 |
| 1912921867 | Richard Wayne Blake | Dentist | 2701 Park Dr, Suite #1, Clearwater, FL 33763-1021 | 2006-07-26 |
| 1770559924 | Richard Lawrence Blake | Podiatrist | 900 Hyde St, San Francisco, CA 94109-4806 | 2006-02-27 |
| Street Address |
1401 HARRODSBURG RD SUITE A-300 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021803 | Patrick K Leung | Psychiatry & Neurology | 1401 Harrodsburg Rd, Ste C225, Lexington, KY 40504-3751 | 2005-05-24 |
| 1174050801 | Jessica N Carty | Nurse Practitioner | 1401 Harrodsburg Rd, C335, Lexington, KY 40504-3751 | 2017-05-12 |
| 1861943029 | Amy Claunch | Nurse Practitioner | 1401 Harrodsburg Rd, C335, Lexington, KY 40504-3751 | 2016-10-21 |
| 1942657598 | Healthpoint Family Care, Inc. | Clinic/Center | 1401 Harrodsburg Rd, Suite 5-a, Lexington, KY 40504-3751 | 2016-05-24 |
| 1114386737 | Jenna Auxier | Counselor | 1401 Harrodsburg Rd, Lexington, KY 40504-3751 | 2016-02-11 |
| 1699147785 | Saint Joseph Health System Inc. | General Acute Care Hospital | 1401 Harrodsburg Rd, Suite A-480, Lexington, KY 40504-3751 | 2015-10-28 |
| 1255703336 | Angela S Shepherd | Physician Assistant | 1401 Harrodsburg Rd, Suite C-100, Lexington, KY 40504-3751 | 2015-10-28 |
| 1831572569 | Bryan Richard Tompkins | Physician Assistant | 1401 Harrodsburg Rd, Suite A-540, Lexington, KY 40504-3751 | 2015-06-30 |
| 1275925547 | Adam J Wilson | Nurse Practitioner | 1401 Harrodsburg Rd, A300, Lexington, KY 40504-3751 | 2015-02-24 |
| 1225427388 | Russell P Crawford | Nurse Practitioner | 1401 Harrodsburg Rd, Suite A-300, Lexington, KY 40504-3751 | 2015-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740255314 | Avichai Eres | Internal Medicine | 161 N Eagle Creek Dr, Suite 400, Lexington, KY 40509-9038 | 2006-02-17 |
| 1346788023 | Julie Reinstatler | Internal Medicine | 800 Rose St, Lexington, KY 40536-7001 | 2017-02-02 |
| 1306032859 | Madhan Shanmugasundaram | Internal Medicine | 800 Rose Street, University of Kentucky, Lexington, KY 40505 | 2007-09-19 |
| 1912105651 | Kiran Y Saraff | Internal Medicine | 1401 Harrodsburg Rd, Suite B-395, Lexington, KY 40504 | 2007-07-03 |
| 1952456683 | Bruce H Coyer Psc | Internal Medicine | 114 Pasadena Dr, Lexington, KY 40503-2907 | 2007-01-24 |
| 1053364869 | Naresh Anjur Kapali | Internal Medicine | 1401 Harrodsburg Rd, Suite A300, Lexington, KY 40504-3751 | 2006-05-19 |
| 1568437366 | Mubashir Qazi | Internal Medicine | 161 N Eagle Creek Dr, Suite 400, Lexington, KY 40509-9038 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093250615 | Advanced Vascular Institute | Internal Medicine | 1374 Highway 192 E, London, KY 40741-3123 | 2017-01-05 |
| 1659770733 | Scott C Harris Do Pllc | Internal Medicine | 112 Windmere Dr, Bowling Green, KY 42103-8720 | 2014-08-14 |
| 1457554750 | Tullio Emanuele Md, Psc | Internal Medicine | 720 Second Street, Suite 204, Bowling Green, KY 42101-5852 | 2007-06-06 |
| 1083823421 | Our Lady of Bellefonte Hospital | Internal Medicine | 1180 Saint Christopher Dr, Ste. 2, Ashland, KY 41101-7055 | 2007-05-22 |
| 1750359857 | Michele A Friday | Internal Medicine | 1180 Saint Christopher Dr Ste 2, Ashland, KY 41101-7055 | 2006-03-14 |
| 1053310409 | Mohammed Kazimuddin | Internal Medicine | 825 Second Ave, Ste B1, Bowling Green, KY 42101 | 2005-07-19 |
| 1235645607 | Appalachian Vascular Institute, Pllc | Internal Medicine | 243 Roy Campbell Dr Ste B, Hazard, KY 41701-9485 | 2017-12-21 |
| 1770001877 | Owensboro Health Medical Group, Inc. | Internal Medicine | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2017-09-08 |
| 1063966778 | Roshan K Mathew, Md. P.s.c. | Internal Medicine | 3110 Fairview Dr, Owensboro, KY 42303-2175 | 2016-08-10 |
| 1154739332 | Baptist Health Richmond, Inc. | Internal Medicine | 801 Eastern Byp, Richmond, KY 40475-2751 | 2014-07-31 |
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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.