MS. CYNTHIA J. BLAKE


Address: 600 Macinnes Dr, Houghton, MI 49931-1144
Phone: 9064831860

MS. CYNTHIA J. BLAKE (NPI# 1861463994) 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) 1861463994
Entity Type Individual
Full Name MS. CYNTHIA J. BLAKE
Credential APRN,BC
Practice Address 600 Macinnes Dr
Houghton
MI 49931-1144
Mailing Address 894 Campus Dr Ste B
Hancock
MI 49930-1644
Practice Telephone 9064831860
Practice Fax Number 9064831270
Mailing Telephone 9064831445
Mailing Fax Number 9064831122
Enumeration Date 2006-01-27
Last Update Date 2016-08-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP008734 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers CYNTHIA BLAKE

NPI Name Taxonomy Address Enumeration
1972168326 Cynthia J. Blake Social Worker Pascack Mental Health, 114 Kinderkamack Road, Park Ridge, NJ 07656 2019-05-01
1821337247 Cynthia Blake Counselor 105 E Castellano Dr Ste C, El Paso, TX 79912-6436 2013-02-05
1558772814 Cynthia Salmon Blake Licensed Practical Nurse 4020 Wake Forest Rd, Suite 201, Raleigh, NC 27609-6866 2014-05-08
1538373576 Cynthia E Blake Occupational Therapy Assistant 1422 San Marco Blvd, Jacksonville, FL 32207-8536 2007-05-09

Office Location

Street Address 600 MACINNES DR
City HOUGHTON
State MI
Zip Code 49931-1144

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487157103 Monica Anne Aho Physical Therapist 600 Macinnes Dr, Houghton, MI 49931-1144 2018-03-09
1629592647 Stephanie Ann Bonenfant Physician Assistant 600 Macinnes Dr, Houghton, MI 49931-1144 2017-08-01
1619304615 Portage Physician Practices Inc Clinic/Center 600 Macinnes Dr, Houghton, MI 49931-1144 2013-10-04
1902126998 Todd W Anderson Family Medicine 600 Macinnes Dr, Houghton, MI 49931-1144 2010-06-02
1619296894 Paul Dennis Peterson Pharmacist 600 Macinnes Dr, Houghton, MI 49931-1144 2010-05-27
1063748770 Portage Health Inc. Family Medicine 600 Macinnes Dr, Houghton, MI 49931-1144 2009-10-30
1891942769 Melissa A Vertin Physician Assistant 600 Macinnes Dr, Houghton, MI 49931-1144 2008-08-22
1093979700 Zachariah Matthew Deyoung Family Medicine 600 Macinnes Dr, Houghton, MI 49931-1144 2008-07-11
1982801569 Karen Marie Deyoung Family Medicine 600 Macinnes Dr, Houghton, MI 49931-1144 2007-06-28
1356475289 Annette Kristiin Keranen Physical Therapy Assistant 600 Macinnes Dr, Houghton, MI 49931-1144 2007-03-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962053447 Meghan Lawler Immel Counselor 47431 St. Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 2019-09-25
1205495710 Public Counseling Services, LLC Counselor 47431 Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 2019-06-08
1679047278 Margiejo D Packham Registered Nurse 109 W Memorial Dr, Hancock, MI 49931 2019-01-16
1487150165 Taylor Lee Douglas Optometrist 900 W Mem Dr, Houghton, MI 49931 2018-04-02
1033640867 Larry Binoniemi Pharmacist 995 Razoback Dr, Houghton, MI 49931 2017-03-23
1013247972 Portage Health Inc General Practice 921 W Sharon Ave., Houghton, MI 49931 2009-12-28
1508001629 Aspirus Keweenaw General Practice 900 Memorial Drive, Houghton, MI 49931 2008-12-03
1306027057 Gary Kilpela Psychologist 301 West Lake Ave., Suite 2, Houghton, MI 49931 2007-11-23
1811186455 Baraga-houghton-keweenaw Child Development Board Public Health or Welfare 700 Park Avenue, Houghton, MI 49931 2007-10-19
1922294107 Diane Sue Johnson Registered Nurse 901 West Memorial Drive, Houghton, MI 49931 2007-09-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952400889 Sharon E Thornton Nurse Practitioner 9864 Luckey Dr, Houghton, NY 14744-8706 2006-09-21
1477955276 Teri Reevs Nurse Practitioner 1000 Cedar St, Houghton, MI 49931-1978 2014-09-23
1013240886 Beki Asti Nurse Practitioner 901 Memorial Rd, Houghton, MI 49931-2475 2009-09-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659972339 Zeinab Berjaoui Nurse Practitioner 11496 Newbern Dr, Warren, MI 48093-2613 2020-11-08
1134720899 Whitney Ashton Mervau Nurse Practitioner 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 2020-11-07
1063013837 Amy Lynn Wadsworth Nurse Practitioner 9259 Chambord Dr, Ypsilanti, MI 48197-9281 2020-11-06
1821699844 Michelle Daldine Nurse Practitioner 38481 Gail St, Clinton Township, MI 48036-1823 2020-11-05
1710588876 Coty Cole Nurse Practitioner 2065 South Center Rd, Ste A, Burton, MI 48519 2020-11-05
1205437175 Michelle Jo Whitesel Nurse Practitioner 5861 Shadow Pines Ct, Howell, MI 48843-7130 2020-11-05
1326649617 Melinda Lee Hawley Nurse Practitioner 4019 Stark Dr, West Branch, MI 48661-9633 2020-11-04
1720689193 Mohammed Louthfur Rahman Nurse Practitioner Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 2020-11-03
1619578234 Devon Kruger Nurse Practitioner 4612 W David Hwy, Saranac, MI 48881-9740 2020-11-02
1760083208 Ramonna Van Alstine Nurse Practitioner 13932 Fox Ridge Ln, Allenton, MI 48002-4525 2020-11-02
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Competitor

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City HOUGHTON
Zip Code 49931

Improve Information

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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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