Mark E Blaker (NPI# 1063406171, PAC ID# 3678478914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1063406171 |
| PAC ID by PECOS | 3678478914 |
| Professional Enrollment ID | I20040414001563 |
| Full Name | Mark E Blaker |
| Organization Legal Name | CENTRAL NEW YORK CARDIOLOGY, PC |
| Address |
201 E State St Herkimer NY 13350-2370 |
| Phone Number | 3155740026 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1976 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 3375530769 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330044 | FAXTON-ST LUKE'S HEALTHCARE |
| 330245 | ST ELIZABETH MEDICAL CENTER |
| 330215 | ROME MEMORIAL HOSPITAL, INC |
| 331317 | LEWIS COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 E State St, Herkimer, NY 13350-2370 | 3155740026 | CENTRAL NEW YORK CARDIOLOGY, PC |
| 7785 N State St, Lowville, NY 13367-1229 | 3153765200 | CENTRAL NEW YORK CARDIOLOGY, PC |
| 2211 Genesee St, Utica, NY 13501-5930 | 3157337598 | CENTRAL NEW YORK CARDIOLOGY, PC |
| Organization Legal Name | CENTRAL NEW YORK CARDIOLOGY, PC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saba Ilyas | Physician Assistant | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
| Kathleen A Marollo | Nurse Practitioner | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
| Thor T Markwood | Cardiac Electrophysiology | Central New York Cardiology, PC | 7785 N State St, Lowville, NY 13367-1229 |
| Prabhat K Varma | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
| Brian J Gaffney | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
| Thomas C Mathew | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
| Gerry A Love | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
| Amy B Haver | Nurse Practitioner | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
| Rakesh M Bhan | Internal Medicine | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
| Benjamin B Johnson | Physician Assistant | Central New York Cardiology, PC | 2211 Genesee St, Utica, NY 13501-5930 |
| Street Address |
201 E STATE ST |
| City | HERKIMER |
| State | NY |
| Zip | 13350-2370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen A Marollo | Nurse Practitioner | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
| Prabhat K Varma | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
| Brian J Gaffney | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
| Carrie A Stemmer | Nurse Practitioner | Faxton - St Lukes Healthcare | 201 E State St, Herkimer, NY 13350-2370 |
| Gerry A Love | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
| William M Parker | Internal Medicine | Faxton - St Lukes Healthcare | 201 E State St, Herkimer, NY 13350-2370 |
| Daniel E Berg | Cardiac Electrophysiology | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
| Michael A Sassower | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
| Peter S Hotvedt | Cardiovascular Disease (cardiology) | Central New York Cardiology, PC | 201 E State St, Herkimer, NY 13350-2370 |
| Catherine Wintle | Nurse Practitioner | Faxton - St Lukes Healthcare | 201 E State St, Herkimer Medical Office, Herkimer, NY 13350-2370 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine E Bowne | Clinical Social Worker | 401 E German St, Suite 314, Herkimer, NY 13350-0924 | |
| Miriam P Curry | Clinical Social Worker | 401 E German St, Herkimer, NY 13350-0924 | |
| Lori Myers | Clinical Social Worker | 417 E German St, Suite 4, Herkimer, NY 13350-1028 | |
| Andrew S Luck | Optometry | Drs Luck and Golden Optometrists PC | 3079 State Route 28, Herkimer, NY 13350-1041 |
| Michael M Gus | Physical Therapy | Function Better Pt Pllc | 3061 State Route 28, Herkimer, NY 13350-1041 |
| Ryan Scheminger | Physical Therapy | Function Better Pt Pllc | 3061 State Route 28, Herkimer, NY 13350-1041 |
| David Brennan | Physical Therapy | Function Better Pt Pllc | 3061 State Route 28, Herkimer, NY 13350-1041 |
| Lauren E Conway | Physical Therapy | Function Better Pt Pllc | 3061 State Route 28, Herkimer, NY 13350-1041 |
| Cecilee Marie Cashman | Physical Therapy | Function Better Pt Pllc | 3061 State Route 28, Herkimer, NY 13350-1041 |
| Dennis Halpin | Physical Therapy | Function Better Pt Pllc | 3061 State Route 28, Herkimer, NY 13350-1041 |
| Find all physicians in zip 13350 | |||
| City | HERKIMER |
| Zip Code | 13350 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | HERKIMER + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Mark E Blaker.
| 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.