DANIEL STEPHEN BLAKE


Address: 1839 E Enrose St, Mesa, AZ 85203-5822
Phone: 4802208496

DANIEL STEPHEN BLAKE (NPI# 1750390803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750390803
Entity Type Individual
Full Name DANIEL STEPHEN BLAKE
Credential SURGICAL FIRST ASST
Practice Address 1839 E Enrose St
Mesa
AZ 85203-5822
Practice Telephone 4802208496
Mailing Telephone 4802208496
Enumeration Date 2006-08-07
Last Update Date 2019-09-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
F01309 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Providers DANIEL BLAKE

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1992749089 Daniel Blake Psychologist 26789 Woodward Ave, Huntington Woods, MI 48070-1335 2006-06-16
1205822665 Daniel R Blake Anesthesiology 9127 W Russell Rd Ste 110, Las Vegas, NV 89148 2005-09-21

Office Location

Street Address 1839 E ENROSE ST
City MESA
State AZ
Zip Code 85203-5822

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1841714631 J. Susanne Davis Chiropractor 62 N. Stapley Drive, Mesa, AZ 85203 2017-08-02
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1962951632 Julia A. Gunthner Counselor 1528 E. Gary St., Mesa, AZ 85203 2016-09-23
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790347292 James M Goldhardt Physician Assistant 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 2019-07-03
1801305073 Panduga Surgical Care, Pllc Physician Assistant 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 2017-09-20
1114325677 John David Shull Jr. Physician Assistant 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 2014-12-16
1679826051 Az Richardson Surgical Services, LLC Physician Assistant 6417 E Star Valley St, Mesa, AZ 85215-0891 2012-10-22
1508173014 Karli Elizabeth Vierra Physician Assistant 1450 S Dobson Rd Ste 320b, Mesa, AZ 85202-4765 2010-09-03
1023335627 Shawn Christopher Smith Physician Assistant 1432 S. Dobson Road, Suite 501, Mesa, AZ 85202 2010-04-23
1144460221 April M Cadreau Physician Assistant 5235 E Southern Ave Ste D106-159, Mesa, AZ 85206 2009-03-02
1598987505 Patricia Kim Brown Physician Assistant 1002 E. Sorenson St., Mesa, AZ 85203 2007-05-02
1275632788 Justina D Alphin Physician Assistant 7525 E Broadway Rd Ste 3, Mesa, AZ 85208-1156 2006-09-21
1003820010 Janie Park Physician Assistant 604 W Medina Ave, Mesa, AZ 85210-6848 2006-07-27
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Competitor

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City MESA
Zip Code 85203

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Dataset Information

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.

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