Brian James Blake (NPI# 1124278668, PAC ID# 2567513542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1124278668 |
| PAC ID by PECOS | 2567513542 |
| Professional Enrollment ID | I20110328000579 |
| Full Name | Brian James Blake |
| Organization Legal Name | ORTHOPAEDIC MULTISPECIALTY NETWORK, INC. |
| Address |
4760 Belpar St Nw Canton OH 44718-3603 |
| Phone Number | 3304929200 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5799770897 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360070 | MERCY MEDICAL CENTER |
| 360084 | AULTMAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4760 Belpar St Nw, Canton, OH 44718-3603 | 3304929200 | ORTHOPAEDIC MULTISPECIALTY NETWORK, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 94% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 70% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 65% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 95% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | ORTHOPAEDIC MULTISPECIALTY NETWORK, INC. |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Mitchel Gasser | Orthopedic Surgery | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Jennifer L Reese | Occupational Therapy | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Stacey A Kastor | Physical Therapy | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Meghan Elizabeth Nein | Pain Management | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Daniel A Charlick | Orthopedic Surgery | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Gerald Francis Klimo | Orthopedic Surgery | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Patricia K Kuczmarski | Physical Therapy | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Gregg A Martin | Psychologist, Clinical | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Timothy J Lynn | Physical Therapy | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Adam D Lewis | Physical Therapy | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Street Address |
4760 BELPAR ST NW |
| City | CANTON |
| State | OH |
| Zip | 44718-3603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Mitchel Gasser | Orthopedic Surgery | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Jennifer L Reese | Occupational Therapy | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Stacey A Kastor | Physical Therapy | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Meghan Elizabeth Nein | Pain Management | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Daniel A Charlick | Orthopedic Surgery | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Gerald Francis Klimo | Orthopedic Surgery | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Patricia K Kuczmarski | Physical Therapy | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Gregg A Martin | Psychologist, Clinical | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Timothy J Lynn | Physical Therapy | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Adam D Lewis | Physical Therapy | Orthopaedic Multispecialty Network, Inc. | 4760 Belpar St Nw, Canton, OH 44718-3603 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Mcavinew | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Ebony Lewis | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Kimberly R Oney | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Gina Kicos | Nurse Practitioner | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Adarsh Vennepureddy | Hematology/oncology | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Shawn Richards | Nurse Practitioner | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Sunitha Vemulapalli | Hematology/oncology | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Gust Pantelas | Family Medicine | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Matthew Licause | Family Medicine | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Alina Marie Wolf | Physician Assistant | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Find all physicians in zip 44718 | |||
| City | CANTON |
| Zip Code | 44718 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CANTON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Brian James Blake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.