Sally S Blake (NPI# 1750432985, PAC ID# 3779529458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750432985 |
| PAC ID by PECOS | 3779529458 |
| Professional Enrollment ID | I20050705000156 |
| Full Name | Sally S Blake |
| Organization Legal Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE |
| Address |
2319 St Matthews Rd Orangeburg SC 29118-2042 |
| Phone Number | 8035361571 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1988 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9032021175 |
| Number of Group Practice Members | 117 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2319 St Matthews Rd, Orangeburg, SC 29118-2042 | 8035361571 | SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE |
| Organization Legal Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE |
| Physicians | 173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Burguieres | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Urvi Rohitkumar Shah | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 130 Hwy 252, Anderson, SC 29621-5054 |
| Laureen J Noll | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 |
| Amy N Smalley | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 220 Faison Dr, Columbia, SC 29203-3210 |
| Debra A Bjork | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 |
| Gretchen Enright | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 1135 Gregg Hwy, Aiken, SC 29801-3807 |
| Adrienne L Pruitt | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 |
| John M Billinsky Jr. | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2715 Colonial Dr, Columbia, SC 29203-6818 |
| Kristi L West | Nurse Practitioner | South Carolina Dept of Mental Health Accounting Office | 403 Stoney Landing Rd, Moncks Corner, SC 29461-3967 |
| Gregory E Smith | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2319 St Matthews Rd, Orangeburg, SC 29118-2042 |
| Street Address |
2319 ST MATTHEWS RD |
| City | ORANGEBURG |
| State | SC |
| Zip | 29118-2042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory E Smith | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2319 St Matthews Rd, Orangeburg, SC 29118-2042 |
| Laura D Siazon | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2319 St Matthews Rd, Orangeburg, SC 29118-2042 |
| Stephen J Enns | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2319 St Matthews Rd, Orangeburg, SC 29118-2042 |
| Amr Abdelghany Khalafallah | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2319 St Matthews Rd, Orangeburg, SC 29118-2042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex Brandon Burshtynsky | Physical Therapy | Greenville Proaxis Therapy LLC | 2650 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| John Oxford Hutto Sr. | Cardiovascular Disease (cardiology) | The Regional Medical Center of Orangeburg and Calhoun Counties | 2664 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| Denise A Canup | Physician Assistant | The Regional Medical Center of Orangeburg and Calhoun Counties | 2664 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| Mabelle Castro | Physical Therapy | Greenville Proaxis Therapy LLC | 2650 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| Muhammad Yunis | Internal Medicine | The Regional Medical Center of Orangeburg and Calhoun Counties | 2850 Pelham Ct, Orangeburg, SC 29118-1400 |
| Mohammed Ibrahim Alhatou | Neurology | 2850 Pelham Ct, Orangeburg, SC 29118-1400 | |
| Mahmoud M Abu-ata | Neurology | Neurology and Pain Clinic LLC | 2850 Pelham Ct, Orangeburg, SC 29118-1400 |
| Silvano L Rodrigues Torres | Nephrology | South Carolina Nephrology and Hypertension | 3709 Magnolia St, Orangeburg, SC 29118-1403 |
| Karl Armistead Illig | Vascular Surgery | The Regional Medical Center of Orangeburg and Calhoun Counties | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| John Fant | Pathology | 3000 St Matthews Rd, Dept of Pathology, Orangeburg, SC 29118-1442 | |
| Find all physicians in zip 29118 | |||
| City | ORANGEBURG |
| Zip Code | 29118 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ORANGEBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sally S 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.