Charles E Blake (NPI# 1972666154, PAC ID# 4688858491) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1972666154 |
PAC ID by PECOS | 4688858491 |
Professional Enrollment ID | I20110401000619 |
Full Name | Charles E Blake |
Organization Legal Name | THEMA MANAGEMENT COMPANY |
Address |
1500 E Bethany Home Rd 250 Palliative Care Services Phoenix AZ 85014-2447 |
Phone Number | 6028894400 |
Gender | M |
Graduation Year | 2005 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 8628213733 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1500 E Bethany Home Rd, 250 Palliative Care Services, Phoenix, AZ 85014-2447 | 6028894400 | THEMA MANAGEMENT COMPANY |
1500 E Bethany Home Rd, Phoenix, AZ 85014-2447 | 6028894400 | THEMA MANAGEMENT COMPANY |
Organization Legal Name | THEMA MANAGEMENT COMPANY |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard B Rader | Nurse Practitioner | Thema Management Company | 1500 E Bethany Home Rd, 250 Palliative Care Services, Phoenix, AZ 85014-2447 |
Street Address |
1500 E BETHANY HOME RD 250 PALLIATIVE CARE SERVICES |
City | PHOENIX |
State | AZ |
Zip | 85014-2447 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard B Rader | Nurse Practitioner | Thema Management Company | 1500 E Bethany Home Rd, 250 Palliative Care Services, Phoenix, AZ 85014-2447 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carole A Foster Pitts | Clinical Social Worker | 1110 E Missouri, Suite 390, Phoenix, AZ 85014 | |
Eve M Katzen | Physician Assistant | Advanced Dermatology of Arizona PC | 740 E Highland Ave, Suite 101, Phoenix, AZ 85014-0001 |
Edith A Yoder | Clinical Social Worker | 1536 E Maryland Ave, Suite C101, Phoenix, AZ 85014-1470 | |
Deborah J Partington | Psychologist, Clinical | 6232 N 7th St, Suite 204, Phoenix, AZ 85014-1852 | |
John C Stapert | Psychologist, Clinical | 6232 N 7th St, 206b, Phoenix, AZ 85014-1861 | |
Xuan Vu | Family Medicine | Medi-first Medical Center Pllc | 727 E Bethany Home Rd, Suite A101, Phoenix, AZ 85014-2192 |
Brock A Merritt | Family Medicine | Medi-first Medical Center Pllc | 727 E Bethany Home Rd, Suite A101, Phoenix, AZ 85014-2192 |
Mohamad Ali Saghir | Diagnostic Radiology | Steward Medical Group Inc | 5662 N 12th St, Phoenix, AZ 85014-2331 |
Virginia Prendergast | Nurse Practitioner | 1424 E Marshall Ave, Phoenix, AZ 85014-2358 | |
Harold D Blackwood | Psychologist, Clinical | 1515 E Missouri Ave, Suite 110, Phoenix, AZ 85014-2443 | |
Find all physicians in zip 85014 |
City | PHOENIX |
Zip Code | 85014 |
Specialty | NURSE PRACTITIONER |
City + Specialty | PHOENIX + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Charles E 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.