ANDREA BLAKE (NPI# 1952551871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952551871 |
| Entity Type | Individual |
| Full Name | ANDREA BLAKE |
| Credential | DO |
| Practice Address |
4102 Pinion Dr General Surgery Usaf Academy CO 80840-2502 |
| Practice Telephone | 7193335140 |
| Practice Fax Number | 7193335836 |
| Mailing Telephone | 7193335140 |
| Mailing Fax Number | 7193335836 |
| Enumeration Date | 2008-09-28 |
| Last Update Date | 2013-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | DR0052469 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 91585783 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088100 | Andrea Blake | Occupational Therapist | 17 Woodchuck Ln, Wilton, CT 06897-3427 | 2020-09-21 |
| 1073606026 | Andrea C Blake | Obstetrics & Gynecology | 57850 Van Dyke, Suite 150, Washington Township, MI 48307 | 2006-10-02 |
| 1871954941 | Andrea Blake | Counselor | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2016-03-16 |
| 1164759981 | Andrea Blake | Chiropractor | 2410 W Jefferson St, Ste 116, Joliet, IL 60435-6449 | 2009-11-16 |
| 1174637748 | Andrea Blake | Nurse Practitioner | 1111 6th Ave, East Tower Suite A100, Des Moines, IA 50314-2610 | 2006-08-19 |
| Street Address |
4102 PINION DR GENERAL SURGERY |
| City | USAF ACADEMY |
| State | CO |
| Zip Code | 80840-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776467 | Rebecca Briones | Student in an Organized Health Care Education/Training Program | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2020-03-26 |
| 1588222129 | Christopher J Drager | Physical Therapist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2019-05-29 |
| 1346706454 | Hannah M Szilagy | Physical Therapist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2019-02-13 |
| 1831671262 | Alexander Ortiz | Physician Assistant | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-09-01 |
| 1336629096 | Kim D Tran | Family Medicine | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-08-21 |
| 1235624065 | Lauren Yurish-crittenden | Psychologist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-06-25 |
| 1477055572 | Keeley Katrein | Physician Assistant | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-03-05 |
| 1588162176 | Justin James Fleming | Physical Therapy Assistant | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2018-01-29 |
| 1609392570 | Mark Eulenstein | Dentist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2017-08-22 |
| 1306387436 | Carrie Marie Ferguson | Nurse Practitioner | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2017-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554011 | Christina Dang | Student in an Organized Health Care Education/Training Program | 4355-b Faculty Drive, Us Air Force Academy, CO 80840 | 2020-03-23 |
| 1053893123 | Glen William Myers | Dentist | 2355-b Faculty Dr, Usaf Academy, Colorado, Usafa, AA 80840 | 2018-09-05 |
| 1225374499 | National Vision Optical | Technician/Technologist | Bldg 5136, Community Center Dr., Us Air Force Academy, CO 80840 | 2012-12-17 |
| 1366758906 | Brett Michael Germain | Dentist | 2355-b Faculty Dr., Usaf Academy, CO 80840 | 2010-08-20 |
| 1518289115 | Renee Jean Cole | Military Health Care Provider | 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 | 2010-02-23 |
| 1063655140 | Gregory S. Brooks | Military Health Care Provider | 2355 Faculty Dr Suite 1n207, 10th Amds, Usafa, CO 80840 | 2009-04-20 |
| 1801092390 | Bryant Mcneill | Internal Medicine | 4102 Pinion 10mdg, Usaf Academy, CO 80840 | 2007-06-22 |
| 1447384383 | Francis Crosby Jr. | Physician Assistant | 4102 Pinon Drive, Usaf Academy, CO 80840 | 2007-03-15 |
| 1023115870 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 | 2006-09-20 |
| 1669582722 | Scott Layle Carbaugh | Physician Assistant | 4102 Pinion Dirve, Usaf Academy, CO 80840 | 2006-08-30 |
| Find all providers in zip 80840 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770842429 | Michelle Buehner | Surgery | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840 | 2012-05-15 |
| 1891988721 | Steve Ifan Chen | Surgery | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2007-08-23 |
| 1295719268 | Jared G. Clay | Surgery | 4102 Pinion Dr, 10 Mdg, Usaf Academy, CO 80840-2502 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797554 | Lower Valley Hospital Association | Surgery | 401 Kokopelli Blvd Ste 3, -practice Location Npi Only-, Fruita, CO 81521-3308 | 2020-10-14 |
| 1467069120 | Colorado Medical Group, Pllc | Surgery | 3665 John F Kennedy Pkwy Ste 200, Fort Collins, CO 80525-3152 | 2020-09-28 |
| 1295341907 | Colorado Trauma Services PC | Surgery | 500 W 144th Ave Ste 130, Westminster, CO 80023-9326 | 2020-09-17 |
| 1013523729 | Colorado Trauma Services PC | Surgery | 401 Castle Creek Rd Ste 2400, Aspen, CO 81611-1159 | 2020-09-17 |
| 1679185698 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 9005 Grant St Ste 300, Thornton, CO 80229-4384 | 2020-08-20 |
| 1730791740 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 1719 E 19th Ave Ste 1c, Denver, CO 80218-1235 | 2020-08-20 |
| 1689286692 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 1601 E 19th Ave Ste 4550, Denver, CO 80218-1254 | 2020-08-20 |
| 1982216990 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 601 E Hampden Ave Ste 250, Englewood, CO 80113-2781 | 2020-08-20 |
| 1881206803 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 701 E Hampden Ave Ste 210, Englewood, CO 80113-2737 | 2020-08-20 |
| 1598376345 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 9055 W 80th Dr Ste 24, Arvada, CO 80005-2448 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | USAF ACADEMY |
| Zip Code | 80840 |
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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.