Kimberly Blake (NPI# 1265480222, PAC ID# 5991713380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1265480222 |
| PAC ID by PECOS | 5991713380 |
| Professional Enrollment ID | I20060327000511 |
| Full Name | Kimberly Blake |
| Organization Legal Name | AFFILIATES IN OBSTETRICAL AND GYNECOLOGICAL CARE INC |
| Address |
96 Colchester Ave Burlington VT 05401-1417 |
| Phone Number | 8028617872 |
| Gender | F |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0244318699 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470003 | UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 300 Flynn Ave, Burlington, VT 05401-5301 | 8024886200 | HOWARD CENTER, INC. |
| 96 Colchester Ave, Burlington, VT 05401-1417 | 8028617872 | AFFILIATES IN OBSTETRICAL AND GYNECOLOGICAL CARE INC |
| Organization Legal Name | AFFILIATES IN OBSTETRICAL AND GYNECOLOGICAL CARE INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greta Elizabeth Hanson | Obstetrics/gynecology | Affiliates In Obstetrical and Gynecological Care Inc | 96 Colchester Ave, Burlington, VT 05401-1417 |
| Kelly A Mccaffrey | Obstetrics/gynecology | Affiliates In Obstetrical and Gynecological Care Inc | 96 Colchester Ave, Burlington, VT 05401-1417 |
| Patrick P Clifford | Obstetrics/gynecology | Affiliates In Obstetrical and Gynecological Care Inc | 96 Colchester Ave, Burlington, VT 05401-1417 |
| Dale Jeanne Lacroix | Obstetrics/gynecology | Affiliates In Obstetrical and Gynecological Care Inc | 96 Colchester Ave, Burlington, VT 05401-1417 |
| Street Address |
96 COLCHESTER AVE |
| City | BURLINGTON |
| State | VT |
| Zip | 05401-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greta Elizabeth Hanson | Obstetrics/gynecology | Affiliates In Obstetrical and Gynecological Care Inc | 96 Colchester Ave, Burlington, VT 05401-1417 |
| Kelly A Mccaffrey | Obstetrics/gynecology | Affiliates In Obstetrical and Gynecological Care Inc | 96 Colchester Ave, Burlington, VT 05401-1417 |
| Patrick P Clifford | Obstetrics/gynecology | Affiliates In Obstetrical and Gynecological Care Inc | 96 Colchester Ave, Burlington, VT 05401-1417 |
| Dale Jeanne Lacroix | Obstetrics/gynecology | Affiliates In Obstetrical and Gynecological Care Inc | 96 Colchester Ave, Burlington, VT 05401-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Callan V Janowiec | Nurse Practitioner | Planned Parenthood of Northern New England | 183 St Paul St, Burlington, VT 05401 |
| Sarah Jayne Bouchard | Nurse Practitioner | Planned Parenthood of Northern New England | 183 St Paul St, Burlington, VT 05401 |
| Kate Stormfield | Nurse Practitioner | Planned Parenthood of Northern New England | 183 St Paul St, Burlington, VT 05401 |
| Emily Garcia | Nurse Practitioner | Planned Parenthood of Northern New England | 183 St Paul St, Burlington, VT 05401 |
| Rebecca C Fredman | Nurse Practitioner | Planned Parenthood of Northern New England | 183 St Paul St, Burlington, VT 05401 |
| Donna Lynn Burkett | Family Practice | Planned Parenthood of Northern New England | 183 St Paul St, Burlington, VT 05401 |
| Rebecca Levasseur | Nurse Practitioner | Planned Parenthood of Northern New England | 183 St Paul St, Burlington, VT 05401 |
| Francis J Smith | Chiropractic | 48 Colchester Ave, Burlington, VT 05401-1417 | |
| Kristine C Johnson | Physical Therapy | Pt 360 Inc | 64 Colchester Ave, Burlington, VT 05401-1417 |
| Maria E Thibault | Physical Therapy | Pt 360 Inc | 64 Colchester Ave, Burlington, VT 05401-1417 |
| Find all physicians in zip 05401 | |||
| City | BURLINGTON |
| Zip Code | 05401 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BURLINGTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Kimberly 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.