DR. AMY C BLAKE (NPI# 1871737668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871737668 |
| Entity Type | Individual |
| Full Name | DR. AMY C BLAKE |
| Other Name | DR. AMY ELIZABETH CAMPFIELD |
| Credential | M.D. |
| Practice Address |
759 Chestnut Street W2810 Springfield MA 01107-1619 |
| Mailing Address |
280 Chestnut Street 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137945370 |
| Practice Fax Number | 4137945100 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
281440 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821200270 | Amy Michelle Blake | Specialist/Technologist | 37770 State Route 124, Pomeroy, OH 45769-9302 | 2007-05-05 |
| 1164407367 | Amy M Blake | Social Worker | 1905 Stadium Blvd, Jefferson City, MO 65109-1961 | 2005-12-09 |
| 1386148708 | Amy Blake | Dermatology | 410 Market St Ste 400, Chapel Hill, NC 27516-4061 | 2018-03-20 |
| 1003315615 | Amy Jo Blake | Behavior Technician | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2018-02-09 |
| 1336528751 | Amy Blake | Dentist | 2976 Summit St Ste 201, Oakland, CA 94609-3405 | 2015-05-19 |
| 1063838464 | Amy Blake | Nurse Practitioner | 340 Webb Smith Dr, Colfax, LA 71417-1910 | 2014-03-10 |
| 1427273234 | Amy Blake | Speech-Language Pathologist | 350 South Main Street, Suite 315 Invo Healthcare Associates, Doylestown, PA 18901 | 2007-04-16 |
| 1437293099 | Amy Blake | Social Worker | 98 North Ave, Suite 30, Skowhegan, ME 04976-1942 | 2007-02-16 |
| 1013978535 | Amy Susan Blake | Nurse Practitioner | 680 Blair Mill Rd, Horsham, PA 19044-2223 | 2006-04-01 |
| Street Address |
759 CHESTNUT STREET W2810 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267107 | Donal T O'hanlon | Psychiatry & Neurology | 759 Chestnut Street, S5632, Springfield, MA 01199 | 2005-06-28 |
| 1700404688 | Katherine L Pearson | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2020-07-08 |
| 1881214294 | Jang Garcia | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2020-04-26 |
| 1578193470 | Brian Michael Perl | Pharmacist | 759 Chestnut Street, Baystate Pharmacy - Daly 3, Springfield, MA 01199 | 2020-01-19 |
| 1801455464 | Kevin John Broems | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2019-06-07 |
| 1710455654 | Marta Golasinski | Nurse Practitioner | 759 Chestnut Street, Springfield, MA 01107 | 2018-11-08 |
| 1770051294 | Pamela C Mumba | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2018-11-02 |
| 1063987030 | Ashley Kathryn Provost | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2018-10-05 |
| 1396241972 | Megan Phillips | Physician Assistant | 759 Chestnut Street, S3677, Springfield, MA 01107 | 2018-04-03 |
| 1487173175 | Kristine Lauren Roth | Nurse Practitioner | 759 Chestnut Street, 2nd Fl, Springfield, MA 01107 | 2017-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1255623997 | Venkata Sasidhar Majjiga | Pediatrics | 301 N 8th Street, Siu School of Medicine, Pediatrics, Room 3a169, Springfield, IL 62794 | 2011-05-13 |
| 1831212976 | Douglas Terry Leonard | Pediatrics | 3355 River Bend Dr., Suite 220, Springfield, OR 97477-8800 | 2007-04-06 |
| 1992878169 | Michael Adrian Colasurdo | Pediatrics | 3355 Riverbend Dr Ste 220, Springfield, OR 97477-8800 | 2006-11-16 |
| 1699861740 | Saumitra Biswas | Pediatrics | 3801 S. National Avenue, 7th Floor, Springfield, MO 65807-5210 | 2006-10-05 |
| 1437116050 | Ozark Neonatal Associates, Inc. | Pediatrics | 1235 E Cherokee Street, Springfield, MO 65804-2203 | 2006-04-27 |
| 1841835816 | Stephanie Ann Barthelette | Pediatrics | 759 Chestnut St, Springfield, MA 01107-1619 | 2019-11-13 |
| 1275045171 | Kelsey Southard | Pediatrics | 3801 S National Ave, Springfield, MO 65807-5210 | 2017-11-01 |
| 1841607389 | Zaineh Alja'nini | Pediatrics | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2014-07-16 |
| 1811242043 | Khushbu Shukla | Pediatrics | 3801 S National Ave, Springfield, MO 65807-5210 | 2012-07-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.