Michael Blake (NPI# 1225205230, PAC ID# 6204029036) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1225205230 |
| PAC ID by PECOS | 6204029036 |
| Professional Enrollment ID | I20101025000697 |
| Full Name | Michael Blake |
| Organization Legal Name | CENTRAL MAINE MEDICAL CENTER |
| Address |
190 Stetson Rd Auburn ME 04210-7813 |
| Phone Number | 2077847388 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2567379563 |
| Number of Group Practice Members | 257 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200024 | CENTRAL MAINE MEDICAL CENTER |
| 201310 | BRIDGTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 190 Stetson Rd, Auburn, ME 04210-7813 | 2077847388 | CENTRAL MAINE MEDICAL CENTER |
| 300 Main St, Lewiston, ME 04240-7027 | 2077950111 | CENTRAL MAINE MEDICAL CENTER |
| Organization Legal Name | CENTRAL MAINE MEDICAL CENTER |
| Physicians | 303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan M Barnathan | Family Medicine | Central Maine Medical Center | 76 High St, Fl 1, Lewiston, ME 04240-7649 |
| Laurie L Lambert | Nurse Practitioner | Central Maine Medical Center | 10 Minot Ave, Auburn, ME 04210-4900 |
| Justin D Pearlman | Cardiovascular Disease (cardiology) | Central Maine Medical Center | 105 Topsham Fair Mall Rd, Topsham, ME 04086-1773 |
| Kema Kasalaba | Nurse Practitioner | Central Maine Medical Center | 789 Minot Ave, Auburn, ME 04210-3924 |
| Amy Ouellette | Nurse Practitioner | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Carleen R Knight | Nurse Practitioner | Central Maine Medical Center | 4 Horton Pl, Topsham, ME 04086-1748 |
| Liia Doumanovskaia | Internal Medicine | Central Maine Medical Center | 12 High St, Suite 400, Lewiston, ME 04240-7690 |
| Liana B Kelly | Nurse Practitioner | Central Maine Medical Center | 287 Main St, Suite 301, Lewiston, ME 04240-7055 |
| Angela L Wood | Certified Registered Nurse Anesthetist (crna) | Central Maine Medical Center | 300 Main St, Lewiston, ME 04240-7027 |
| Gisele M Castonguay | Nurse Practitioner | Central Maine Medical Center | 60 High St, Lewiston, ME 04240-7616 |
| Street Address |
190 STETSON RD |
| City | AUBURN |
| State | ME |
| Zip | 04210-7813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Ouellette | Nurse Practitioner | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Paul H Lipman | Clinical Social Worker | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Amy L Bergeron | Nurse Practitioner | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Taylor Butterfield | Physician Assistant | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Raymond Tardif | Family Medicine | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Jeffrey A Wall | Family Medicine | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Adam Duquette | Family Medicine | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Manju Hilary | Family Medicine | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Jeri Wade | Nurse Practitioner | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Dianne Paine | Nurse Practitioner | Central Maine Medical Center | 190 Stetson Rd, Auburn, ME 04210-7813 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul N Morin | Chiropractic | 862 Minot Ave, Auburn, ME 04210-3717 | |
| Behzad Fakhery | General Surgery | 33 Rafnell St, Auburn, ME 04210-3727 | |
| Deanne E Ochoa Durrell | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Sarina L Brooks | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Marie A Laverriere | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Caroline Torres | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Kandi L Robertson | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Karen A Haley | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Charles R Doucette | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Judith M Zink | Clinical Social Worker | Health Affiliates Maine, LLC | 306 Rodman Rd, Auburn, ME 04210-3830 |
| Find all physicians in zip 04210 | |||
| City | AUBURN |
| Zip Code | 04210 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | AUBURN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael 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.