DR. BLAKE L ANDERSON (NPI# 1962499574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962499574 |
Entity Type | Individual |
Full Name | DR. BLAKE L ANDERSON |
Credential | MD PHD |
Practice Address |
5301 Faraon St Ste 160 Saint Joseph MO 64506-3512 |
Mailing Address |
5301 Faraon St Plaza 3, Ste 120 Saint Joseph MO 64506-3512 |
Practice Telephone | 8166714840 |
Practice Fax Number | 8166714890 |
Mailing Telephone | 8166714840 |
Mailing Fax Number | 8166714845 |
Enumeration Date | 2005-09-29 |
Last Update Date | 2016-03-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | L6260 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BEECHSTREET | 1459097 | 01 |
TX | 157856901 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093798134 | Blake Anderson | Emergency Medicine | 1344 Red Oak Plantation Dr, Ballwin, MO 63021-7346 | 2005-11-22 |
1346883006 | Blake Anderson | Nurse Practitioner | 2000 Church St, Nashville, TN 37236-4400 | 2019-10-24 |
1619535556 | Blake Anderson | Specialist/Technologist | 2300 53rd Ave Ste Ll02, Bettendorf, IA 52722-7565 | 2019-06-05 |
1760779458 | Blake Bailey Anderson | Surgery | 2350 Miami Valley Dr Ste 500, Centerville, OH 45459 | 2011-07-01 |
1952693251 | Blake John Anderson | Internal Medicine | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2011-05-05 |
Street Address |
5301 FARAON ST STE 160 |
City | SAINT JOSEPH |
State | MO |
Zip Code | 64506-3512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437142965 | Steven M. Orr | Emergency Medicine | 5301 Faraon St, Ste 250, Saint Joseph, MO 64506-3512 | 2005-08-30 |
1134599210 | Sarah Elizabeth Pedersen | Physician Assistant | 5301 Faraon St, C, Saint Joseph, MO 64506-3512 | 2015-10-01 |
1194053827 | Casey Rhae Ball | Nurse Practitioner | 5301 Faraon St, Saint Joseph, MO 64506-3512 | 2009-11-18 |
1205067154 | Asad Waseem Kabir | Internal Medicine | 5301 Faraon St, Ste 201b, Saint Joseph, MO 64506-3512 | 2009-07-27 |
1497910822 | Angela J Bayton-langford | Audiologist | 5301 Faraon St, Suite 160, Saint Joseph, MO 64506-3512 | 2008-07-24 |
1164602686 | Steven M. Orr, M.d., L.L.C. | Emergency Medicine | 5301 Faraon St, Saint Joseph, MO 64506-3373 | 2007-11-13 |
1316144223 | John Judson Barclay Jr. | Otolaryngology | 5301 Faraon St, Ste 160, Saint Joseph, MO 64506-3512 | 2007-07-03 |
1851476873 | Sue Roesle | Audiologist | 5301 Faraon St, Suite 160, Saint Joseph, MO 64506-3373 | 2006-10-26 |
1487738050 | Kasey Lynn Miles | Nurse Practitioner | 5301 Faraon St, Suite 160, Saint Joseph, MO 64506-3512 | 2006-10-24 |
1336171701 | Nancy L Brecheisen | Internal Medicine | 5301 Faraon St, Suite 210, Saint Joseph, MO 64506-3373 | 2006-07-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
Find all providers in zip 64506 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245670637 | James Allan Gaunt | Otolaryngology | 5301 Faraon St Ste 160, Saint Joseph, MO 64506-3829 | 2013-06-28 |
1659373256 | Dennis Fred Thompson | Otolaryngology | 2680 S Cleveland Ave, Saint Joseph, MI 49085-3002 | 2005-08-12 |
1588069314 | Lakeland Medical Practices | Otolaryngology | 2680 S Cleveland Ave, Saint Joseph, MI 49085-3002 | 2014-10-22 |
1295096600 | Benjamin Francis Erhardt | Otolaryngology | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2012-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205308871 | Head and Neck Surgical Associates of Lees Summit LLC | Otolaryngology | 3340 Ne Ralph Powell Rd, Lees Summit, MO 64064-2368 | 2018-12-20 |
1811480601 | Omar Ahmad Karadaghy | Otolaryngology | 600 E 8th St Apt 10s, Kansas City, MO 64106-1622 | 2018-06-07 |
1003337809 | Andrew John Vanbruggen | Otolaryngology | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2017-06-30 |
1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
1649621921 | Zachary Farhood | Otolaryngology | 3635 Vista Ave, 6fdt, St. Louis, MO 63110 | 2016-06-28 |
1538510961 | Haley Nicole Bray | Otolaryngology | 3635 Vista Ave # 6dt, Saint Louis, MO 63110-2539 | 2016-06-27 |
1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
1013304914 | Andrea Lee Hanick | Otolaryngology | Facial Plastic Surgery Center, 1044 North Mason Road, Mob4, Suite L10, Creve Coeur, MO 63141 | 2015-04-20 |
1023419405 | Arya W Namin | Otolaryngology | One Hospital Dr Ma314, Columbia, MO 65212 | 2014-09-04 |
1740689181 | David Sherman | Otolaryngology | 8350 State Route 30, Dittmer, MO 63023-1909 | 2014-08-21 |
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City | SAINT JOSEPH |
Zip Code | 64506 |
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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.