GEORGE BLAKE M.D., P.A. (NPI# 1164469151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164469151 |
Entity Type | Organization |
Organization Name | GEORGE BLAKE M.D., P.A. |
Practice Address |
605 S Fremont Ave Suite A Tampa FL 33606-2479 |
Practice Telephone | 8132510209 |
Practice Fax Number | 8132580600 |
Mailing Telephone | 8132510209 |
Mailing Fax Number | 8132580600 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2012-01-13 |
Authorized Official Name | DR. GEORGE B BLAKE (PRESIDENT) |
Authorized Official Telephone | 8132510209 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | ME66396 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 379713900 | 05 |
Street Address |
605 S FREMONT AVE SUITE A |
City | TAMPA |
State | FL |
Zip Code | 33606-2479 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013162825 | William Campbell Blake | Counselor | 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479 | 2008-11-20 |
1962449587 | George B Blake | Otolaryngology | 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479 | 2006-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
Find all providers in zip 33606 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285953679 | Matthew J Mifsud | Otolaryngology | 2 Tampa General Cir Fl Circle2, Tampa, FL 33606-3603 | 2010-05-25 |
1801124839 | Martin Joseph Adelman | Otolaryngology | 16307 Avila Blvd, Tampa, FL 33613-1000 | 2009-12-02 |
1942473921 | Kathleen A Macisaac | Otolaryngology | 4320 S Manhattan Ave, Tampa, FL 33611-1304 | 2008-04-10 |
1528273455 | Michael James Butler | Otolaryngology | 6432 Renwick Cir, Tampa, FL 33647-1172 | 2007-05-14 |
1215019179 | Jonathan Lyons Chadwick | Otolaryngology | 4714 N Armenia Ave Ste 200, Tampa, FL 33603-2603 | 2006-10-20 |
1972530616 | Warren S. Goldstein | Otolaryngology | 7425 Monika Manor Dr, Tampa, FL 33625-5814 | 2006-06-27 |
1487680856 | Douglas William Klotch | Otolaryngology | 3450 E Fletcher Avenue, Suite 260, Tampa, FL 33613 | 2006-06-25 |
1821049826 | Amanollah -- Tabesh | Otolaryngology | 7001 N Dale Mabry Hwy, Suite # 3, Tampa, FL 33614-3910 | 2006-05-14 |
1437143104 | Lance R Meyerson | Otolaryngology | 12500 N Dale Mabry Hwy Ste F, Tampa, FL 33618-2809 | 2005-09-08 |
1306844105 | Peter B Mckernan | Otolaryngology | Ear Nost & Throat Associates, 6101 Webb Rd. Ste 211, Tampa, FL 33615-2865 | 2005-07-14 |
Find all providers in TAMPA |
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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.