JACOB BLAKE, MD LTD. (NPI# 1154839637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154839637 |
| Entity Type | Organization |
| Organization Name | JACOB BLAKE, MD LTD. |
| Other Organization Name | SIERRA PEAK PAIN MANAGEMENT |
| Practice Address |
5590 Kietzke Lane Reno NV 89511 |
| Mailing Address |
5590 Kietzke Ln Reno NV 89511-3019 |
| Practice Telephone | 7753232080 |
| Practice Fax Number | 7753238216 |
| Mailing Telephone | 7753232080 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MRS. KENDALL QUINLAN (CREDENTIALING) |
| Authorized Official Telephone | 7757201573 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
11407 | NV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sierra Peak Pain Management | Doing Business As Name - Organization |
| Street Address |
5590 KIETZKE LANE |
| City | RENO |
| State | NV |
| Zip Code | 89511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| 1780102418 | Paul Francis Fromherz | Specialist/Technologist | 3600 Butch Cassidy Way, Reno, NV 89511 | 2017-09-01 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700032273 | Ali Nairizi | Anesthesiology | 6512 S Mccarran Blvd Ste E, Reno, NV 89509 | 2008-08-14 |
| 1073791653 | Marcia Jean Howton Md Ltd | Anesthesiology | 1699 S Virginia St, Suite 100, Reno, NV 89502-2820 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144858374 | Sudhir S Khemka Md, Pllc | Anesthesiology | 2913 Josephine Dr, Henderson, NV 89044-0374 | 2020-04-01 |
| 1215564539 | Mark David Kraft | Anesthesiology | 8861 W Sahara Ave Ste 220, Las Vegas, NV 89117-4805 | 2020-03-25 |
| 1659918498 | Center for Wellness and Pain Care of Las Vegas, Inc. | Anesthesiology | 6930 S Cimarron Rd, Ste 260, Las Vegas, NV 89113-2135 | 2019-11-27 |
| 1588143226 | Affiliated Pain Management LLC | Anesthesiology | 2080 E Calvada Blvd Ste 500, Pahrump, NV 89048-6578 | 2018-08-13 |
| 1922526755 | Pain Care Innovation LLC | Anesthesiology | 222 Karen Ave Unit 3305, Las Vegas, NV 89109-5308 | 2017-08-31 |
| 1003367921 | Charlie Y. Nahm, Md, PC | Anesthesiology | 9333 W Sunset Rd, Suite A, Las Vegas, NV 89148-4845 | 2016-10-14 |
| 1588082374 | Tara-lin Hollins | Anesthesiology | 3281 N Decatur Blvd Ste 150, Las Vegas, NV 89130-3264 | 2014-03-31 |
| 1225385842 | Quicknd Pain Care | Anesthesiology | 3111 S Maryland Pkwy Ste 200, Las Vegas, NV 89109-2319 | 2012-08-14 |
| 1487911962 | Coppel Medical Enterprise | Anesthesiology | 1070 Wigwam Pkwy, Suite 120, Henderson, NV 89074-8177 | 2012-04-20 |
| 1245533207 | Maryanne D. Phillips Md Apc | Anesthesiology | 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 | 2010-12-14 |
| Find all providers with the same taxonomy | ||||
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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.