George B Blake


Address: 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479

George B Blake (NPI# 1962449587, PAC ID# 3971543646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1962449587
PAC ID by PECOS 3971543646
Professional Enrollment ID I20060608000066
Full Name George B Blake
Address 605 S Fremont Ave
Suite A
Tampa
FL 33606-2479
Gender M
Credential MD
Medical School UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year 1988
Primary Specialty OTOLARYNGOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100075 ST JOSEPHS HOSPITAL

Other Locations

Address Phone Organization
605 S Fremont Ave, Suite A, Tampa, FL 33606-2479

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 82%
ACI_EC_TRANS_HIE_1 Health Information Exchange 30%
ACI_EC_TRANS_PEA_1 Provide Patient Access 91%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 9%
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 12%
ACI_EC_TRANS_SM_1 Secure Messaging 0%
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 77%

Organization Information

Office Location

Street Address 605 S FREMONT AVE
SUITE A
City TAMPA
State FL
Zip 33606-2479

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Jairo D Libreros Cupido Neurology 4914 N Armenia, Tampa, FL 33606-1402
Kirk R Smith Nurse Practitioner Joanna Mulder Np Inc 211 N Albany Ave, Tampa, FL 33606-1502
Nestor Guerrero Nurse Practitioner Choice Health Care, Inc. 1881 W Kennedy Blvd A B, Tampa, FL 33606-1611
Michael W Finn Certified Registered Nurse Anesthetist (crna) Synergy Anesthesiology Inc 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611
Susanne R Torano Certified Registered Nurse Anesthetist (crna) Synergy Anesthesiology Inc 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611
Mark Mikulak Certified Registered Nurse Anesthetist (crna) Synergy Anesthesiology Inc 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611
Janale C Beckford Podiatry 1881 W Kennedy Blvd, Suite A, Tampa, FL 33606-1611
David E Halpern Plastic and Reconstructive Surgery 120 S Fremont Ave, Tampa, FL 33606-1703
Kerry W Knesl Clinical Social Worker 105 S Albany Ave, Tampa, FL 33606-1710
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Competitor

Search similar physicians

City TAMPA
Zip Code 33606
Specialty OTOLARYNGOLOGY
City + Specialty TAMPA + OTOLARYNGOLOGY

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Dataset Information

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.

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