ALEX BLAKE (NPI# 1710348701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710348701 |
| Entity Type | Individual |
| Full Name | ALEX BLAKE |
| Credential | CSFA |
| Practice Address |
10743 S State Route 133 Blanchester OH 45107-9435 |
| Mailing Address |
7777 Yankee Rd Liberty Township OH 45044-3500 |
| Practice Telephone | 9377289782 |
| Mailing Telephone | 5138039600 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
157559 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10743 S STATE ROUTE 133 |
| City | BLANCHESTER |
| State | OH |
| Zip Code | 45107-9435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528394756 | Joann Louise Gregory | Licensed Practical Nurse | 6241 Marathon-edenton Rd, Blanchester, OH 45107 | 2009-10-22 |
| 1285870881 | Jennifer Leigh Miller | Contractor | 661 West Main Street, Blanchester, OH 45107 | 2009-01-02 |
| 1982739439 | Lori L Metzger | Physical Therapist | Continental Manor, 820 E Center Street, Blanchester, OH 45107 | 2007-02-23 |
| 1821187808 | Joseph Gordon Gundler | Dentist | 615 West Main Street, Blanchester, OH 45107 | 2006-10-11 |
| 1992032148 | The Laurels of Blanchester, LLC | Skilled Nursing Facility | 839 Cherry St, Blanchester, OH 45107 | 2009-11-09 |
| 1366688962 | Tamara Gail Serey | Contractor | 661 West Main Street, Blanchester, OH 45107 | 2009-01-02 |
| 1275779878 | Tera Jean Martin | Contractor | 661 West Main Street, Blanchester, OH 45107 | 2009-01-02 |
| 1598842320 | Jody Gundler Dds Inc | Dentist | 615 West Main Street, Blanchester, OH 45107 | 2006-11-01 |
| 1477923811 | Keystone Autism and Behavior Interventions LLC | Behavioral Analyst | 125 Watkins Rd, Blanchester, OH 45107-1056 | 2015-09-28 |
| 1871025817 | Sheryl Parson | Home Health Aide | 212 N Supinger Ave, Blanchester, OH 45107-1070 | 2017-03-29 |
| Find all providers in zip 45107 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1225481690 | Rebekah Keesee | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2016-07-20 |
| 1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
| 1932560083 | Adam Peckinpaugh | Physician Assistant | 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 | 2016-03-17 |
| 1215319926 | Richard Alan Stevenson | Physician Assistant | 187 Vine St, Fairborn, OH 45324-3324 | 2015-06-18 |
| 1548641038 | Matthew Hamley | Physician Assistant | 2315 Birch Trace Dr, Youngstown, OH 44515-4914 | 2015-06-10 |
| 1588094148 | Kevin W. Rotondo | Physician Assistant | 1732 Maple St, Wickliffe, OH 44092-2423 | 2013-11-19 |
| 1376822668 | Christopher A Ney | Physician Assistant | 6365 Winchester Blvd Ste A, Canal Winchester, OH 43110-2069 | 2011-08-04 |
| Find all providers with the same taxonomy | ||||
| City | BLANCHESTER |
| Zip Code | 45107 |
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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.