DR. DAVID PAUL BLAKE


Address: 3300 Gallows Rd, Falls Church, VA 22042-3307
Phone: 7037764001

DR. DAVID PAUL BLAKE (NPI# 1063484210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063484210
Entity Type Individual
Full Name DR. DAVID PAUL BLAKE
Credential MD, MPH
Practice Address 3300 Gallows Rd
Falls Church
VA 22042-3307
Mailing Address 85 Seymour St Ste 415
Hartford
CT 06106-5523
Practice Telephone 7037764001
Practice Fax Number 7037767113
Mailing Telephone 8602462071
Enumeration Date 2006-02-02
Last Update Date 2020-10-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 61499 CT Allopathic & Osteopathic Physicians
N 208600000X Surgery 0101241616 VA Allopathic & Osteopathic Physicians
N 2086S0102X Surgery
Specialization: Surgical Critical Care
61499 CT Allopathic & Osteopathic Physicians
N 2086S0102X Surgery
Specialization: Surgical Critical Care
35.093895 OH Allopathic & Osteopathic Physicians
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
0101241616 VA Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
61499 CT Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
0101241616 VA Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
35.093895 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA USA MANAGED CARE PAR 01
NC 1063484210 05
VA OPTIMA HEALTH 10106541 01
VA UNITED HEALTHCARE 1063484210 01
VA ANTHEM BC/BS 488414 01
VA 1063484210 05
VA VIRGINIA HEALTH NETWORK PAR 01
VA CIGNA PAR 01
VA COVENTRY HEALTH NETWORK 1063484210 01
VA CORVEL PAR 01
VA AETNA PAR 01
VA MULTIPLAN PAR 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
80 Seymour St, Hartford Hospital Surgery Dept, Hartford, CT 06102 8609724189
825 Fairfax Ave, Sixth Floor, Norfolk, VA 235071914 7574468950
85 Seymour St Ste 415, Hartford, CT 061065523 8602462071

Other Providers DAVID BLAKE

NPI Name Taxonomy Address Enumeration
1649792565 David Blake Case Manager/Care Coordinator 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 2017-07-12
1295837094 David M Blake Psychiatry & Neurology 1221 S Broadway # D302, Lexington, KY 40504-2701 2006-09-02
1598266462 David Blake Physician Assistant 1049 Main St, Springfield, MA 01103-2114 2018-02-26
1326054255 David Allen Blake Anesthesiology 225 S Lake Ave, Suite 535, Pasadena, CA 91101-3005 2006-07-31
1548233125 David P Blake Surgery 640 Jackson Street, Mc 11503k, St Paul, MN 55102-2502 2006-02-13
1831161348 David Blake Internal Medicine 14555 W National Ave, Ste 192, New Berlin, WI 53151-4494 2006-02-07

Office Location

Street Address 3300 GALLOWS RD
City FALLS CHURCH
State VA
Zip Code 22042-3307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639177942 Bestpractices, Inc. Emergency Medicine 3300 Gallows Rd, Falls Church, VA 22042-3307 2005-07-11
1659971216 Mahsa Roohani Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3300 2020-10-31
1861092330 Jessica Merberg Genetic Counselor, MS 3300 Gallows Rd, Falls Church, VA 22042-3300 2020-10-26
1366042780 Kirsten Smith Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-10-26
1629677026 Laurie Brutus Registered Nurse 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-10-19
1184223539 Mirnesa Tikvina Registered Nurse 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-10-17
1073111779 Kirsten Kadlec Nurse Anesthetist, Certified Registered 3300 Gallows Rd, Falls Church, VA 22042-3300 2020-10-14
1114525953 Jennifer Yung Registered Nurse 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-10-14
1720685522 Laura Musser Registered Nurse 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-10-05
1154938926 Heather Elizabeth Carvalho Nurse Practitioner 3300 Gallows Rd, Falls Church, VA 22042-3307 2020-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982220190 Alicia Derusso St. Thomas Student in an Organized Health Care Education/Training Program Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 2020-06-23
1316574320 Marina A Kalugina Radiologic Technologist 3330 Gallows Rd, Falls Church, VA 22042 2020-03-27
1992347645 Home Injections Plus LLC Registered Nurse 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 2019-10-15
1205493129 Meredith Hooover Obstetrics & Gynecology 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 2019-05-27
1699269076 Ibrahim Tora Student in an Organized Health Care Education/Training Program Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 2018-06-19
1528559960 Robert Patton Student in an Organized Health Care Education/Training Program Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 2018-05-22
1144726951 Helene M Sterbling Student in an Organized Health Care Education/Training Program Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 2018-04-02
1659876530 Cassandra Lyn Presti Obstetrics & Gynecology 3300 Gallows Rd Fl 2, Falls Church, VA 22042 2018-03-24
1225530157 Sara Sigler Audiologist 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 2018-03-07
1003314949 Ameriwell Clinics Falls Church, LLC Chiropractor 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 2018-01-25
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Taxonomy Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811500754 Juan Carlos Torres Surgery 4100 David Ln, Alexandria, VA 22311-1113 2020-08-29
1770132409 Hiba Ezzeddine Surgery Vcuhs Dept of Acute Care Surgery Fellowship, 980454, 1250 E. Marshall Street, Richmond, VA 23298-0454 2019-09-05
1669943890 Taylor Erin D'etcheverry Surgery 20560 Southport Landing Pl, Smithfield, VA 23430-8116 2018-12-16
1780997080 Dustin Donley Surgery 7101 Jahnke Rd Bldg Suite260, Richmond, VA 23225-4017 2010-07-15
1417936493 Joseph Charles Babrowicz Jr. Surgery 3299 Woodburn Rd Ste 230, Annandale, VA 22003-7319 2006-01-10
1114366028 Charles Kevin Grigsby Surgery 825 Fairfax Ave Ste 610, Norfolk, VA 23507-1912 2013-06-25
1831487479 Asanthi Marian Ratnasekera Surgery 1250 E Marshall St, Pob 980257, Richmond, VA 23298-0257 2011-07-18
1255621900 Michael T Martyak Surgery 825 Fairfax Ave Ste 610, Norfolk, VA 23507-1914 2011-04-14
1104116235 John Patrick Davis Surgery 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2011-04-11
1952625576 Jacob R Gillen Surgery 1906 Belleview Ave Se, Roanoke, VA 24014 2010-03-25
Find all providers with the same taxonomy

Competitor

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City FALLS CHURCH
Zip Code 22042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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