BLAKE ANDRE SMITH (NPI# 1093132631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093132631 |
| Entity Type | Individual |
| Full Name | BLAKE ANDRE SMITH |
| Credential | PA-C |
| Practice Address |
2854 Bell St Zanesville OH 43701-1721 |
| Practice Telephone | 7404543273 |
| Practice Fax Number | 7405881081 |
| Mailing Telephone | 7404543273 |
| Mailing Fax Number | 7405881081 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2016-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50.004031 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0101439 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780927269 | Blake Robert Smith | Otolaryngology | 3650 Steve Reynolds Blvd Dept Of, Duluth, GA 30096-4506 | 2013-04-03 |
| 1952591398 | Blake E Smith | Optometrist | 4612 S Coulter St, Amarillo, TX 79119-6403 | 2007-08-01 |
| 1649839317 | Blake Edward Smith | Counselor | 10564 Se Washington St, Portland, OR 97216-2809 | 2019-06-06 |
| 1275089609 | Blake Smith | Specialist | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2016-08-26 |
| 1639547904 | Blake Eric Smith | Occupational Therapy Assistant | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2015-09-03 |
| 1770979221 | Blake Gaither Smith | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249 | 2015-04-11 |
| 1881031946 | Blake Daniel Smith | Dentist | 2600 Bemidji Ave N, Bemidji, MN 56601-2324 | 2013-05-30 |
| 1760718282 | Blake Smith | Registered Nurse | 80 Enoch Blvd, Savannah, TN 38372 | 2009-10-19 |
| 1518192533 | Blake Allen Smith | Psychiatry & Neurology | 4805 Montgomery Rd, Suite 410, Cincinnati, OH 45212-2198 | 2009-05-19 |
| 1760512966 | Blake Andrew Smith | Emergency Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2007-03-06 |
| Street Address |
2854 BELL ST |
| City | ZANESVILLE |
| State | OH |
| Zip Code | 43701-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706121 | Christopher Charles Bernett | Physician Assistant | 2854 Bell St, Zanesville, OH 43701-1721 | 2005-08-10 |
| 1932712189 | Ty Griffith | Physical Therapist | 2854 Bell St, Zanesville, OH 43701-1790 | 2020-08-27 |
| 1205321379 | Lucas M Graham | Nurse Practitioner | 2854 Bell St, Zanesville, OH 43701-1790 | 2018-06-29 |
| 1770035990 | Brianne Mussard | Physical Therapist | 2854 Bell St, Zanesville, OH 43701-1721 | 2016-11-04 |
| 1710431192 | Marie Mcginnis | Physician Assistant | 2854 Bell St, Zanesville, OH 43701-1721 | 2016-08-15 |
| 1013383736 | Casey Daugherty | Physical Therapist | 2854 Bell St, Zanesville, OH 43701-1721 | 2015-08-17 |
| 1750705091 | Emily Hickerson | Physical Therapist | 2854 Bell St, Zanesville, OH 43701-1721 | 2014-02-06 |
| 1699018416 | Ian Jude Dempsey | Orthopaedic Surgery | 2854 Bell St, Zanesville, OH 43701-1721 | 2013-03-29 |
| 1669727210 | Benjamin Richard Pulley | Orthopaedic Surgery | 2854 Bell St, Zanesville, OH 43701-1721 | 2012-07-19 |
| 1164705505 | Stephen S Koppes | Physician Assistant | 2854 Bell St, Zanesville, OH 43701-1721 | 2011-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1871010975 | Amy Caroline Blackford | Occupational Therapist | 4039 Old Wheeling Road, Zanesville, OH 43701 | 2017-08-29 |
| 1598286825 | Michele Ann Ehrnfield | Counselor | 930 Bethesda Drive, Zanesville, OH 43701 | 2017-06-27 |
| 1306382163 | Nadine Curry | Counselor | 4509 Pinkerton Rd, Foxfire Schools, Zanesville, OH 43701 | 2017-01-17 |
| 1669916219 | Kathleen Caughell | Counselor | 1590 Coal Run Rd, Zanesville, OH 43701 | 2016-12-15 |
| 1154877728 | Katherine Williams | Registered Nurse | 1125 Ellis Dam Rd, Zanesville, OH 43701 | 2016-09-01 |
| 1801342415 | Foxfire Intermediate School | Local Education Agency (LEA) | 2805 Pinkerton Road, Zanesville, OH 43701 | 2016-09-01 |
| 1770936353 | Tiffany Branson | Nurse Practitioner | 955 Bethesda Drive, 1st Floor, Zanesville, OH 43701 | 2016-07-19 |
| 1194175497 | Life Support Therapy Services LLC | Counselor | 941 Blue Ave, Zanesville, OH 43701 | 2016-06-16 |
| 1669876546 | Tami Sue Wofter | Licensed Practical Nurse | 21 Butler Drive, Zanesville, OH 43701 | 2014-10-21 |
| Find all providers in zip 43701 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881165215 | Kathryn Elizabeth Bezbatchenko | Physician Assistant | 955 Bethesda Dr, Zanesville, OH 43701-1873 | 2018-12-11 |
| 1710431192 | Marie Mcginnis | Physician Assistant | 2854 Bell St, Zanesville, OH 43701-1721 | 2016-08-15 |
| 1164705505 | Stephen S Koppes | Physician Assistant | 2854 Bell St, Zanesville, OH 43701-1721 | 2011-09-22 |
| 1851671119 | Crista R Berry | Physician Assistant | 2854 Bell St, Zanesville, OH 43701-1721 | 2011-08-18 |
| 1831188069 | Troy Naftzger | Physician Assistant | 2854 Bell St, Zanesville, OH 43701-1721 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1225481690 | Rebekah Keesee | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2016-07-20 |
| 1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
| 1932560083 | Adam Peckinpaugh | Physician Assistant | 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 | 2016-03-17 |
| 1710348701 | Alex Blake | Physician Assistant | 10743 S State Route 133, Blanchester, OH 45107-9435 | 2016-03-17 |
| 1215319926 | Richard Alan Stevenson | Physician Assistant | 187 Vine St, Fairborn, OH 45324-3324 | 2015-06-18 |
| 1548641038 | Matthew Hamley | Physician Assistant | 2315 Birch Trace Dr, Youngstown, OH 44515-4914 | 2015-06-10 |
| 1588094148 | Kevin W. Rotondo | Physician Assistant | 1732 Maple St, Wickliffe, OH 44092-2423 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
| City | ZANESVILLE |
| Zip Code | 43701 |
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| 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.