DR. ROBERT B BLAKE (NPI# 1285635904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285635904 |
Entity Type | Individual |
Full Name | DR. ROBERT B BLAKE |
Credential | M.D. |
Practice Address |
1450 Ellis St Suite 201 Bozeman MT 59715-8812 |
Practice Telephone | 4065870122 |
Practice Fax Number | 4065875548 |
Mailing Telephone | 4065870122 |
Enumeration Date | 2005-08-03 |
Last Update Date | 2020-11-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | MD192627 | OR | Allopathic & Osteopathic Physicians |
N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
8585 | MT | Allopathic & Osteopathic Physicians |
Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
8585 | MT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 14263 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
930 Sw Abbey St Ste B, Newport, OR 973654820 | 5415747235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245756170 | Robert G Blake | Physical Therapist | 10004 Nw 54th Pl, Coral Springs, FL 33076-2420 | 2017-08-22 |
1285029389 | Robert Demarest Blake Jr. | Licensed Practical Nurse | 11242 Mills Mills Rd, Fillmore, NY 14735-8622 | 2015-04-06 |
1104262930 | Robert Alexander Blake | Student in an Organized Health Care Education/Training Program | 1255 Nuuanu Ave, 1309, Honolulu, HI 96817-4017 | 2013-05-20 |
1760707061 | Robert Mcgowin Blake | Massage Therapist | 643 First Street North, Alabaster, AL 35007 | 2010-03-30 |
1972794212 | Robert E Blake | Counselor | 3969 4th Ave Ste 203, San Diego, CA 92103-3165 | 2007-08-01 |
1891850558 | Robert Quincy Blake | Social Worker | 1204 Paul Dr, Cedar Hill, TX 75104-6216 | 2006-12-23 |
1356442446 | Robert A Blake | Dentist | 50 West St, Beverly, MA 01915-2228 | 2006-09-25 |
1407864440 | Robert Edward Blake | Dentist | 104 N Park Dr, Fayetteville, GA 30214-1645 | 2006-08-04 |
1942283213 | Robert Allen Blake | Pharmacist | 206 N Market St, West Union, OH 45693-1307 | 2005-11-21 |
1174978191 | Robert Philp Blake | Counselor | 603 Hemlock St, Suite 2b, Brookings, OR 97415 | 2016-04-27 |
Street Address |
1450 ELLIS ST SUITE 201 |
City | BOZEMAN |
State | MT |
Zip Code | 59715-8812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427414440 | Kara Haskell | Physician Assistant | 1450 Ellis St, #201, Bozeman, MT 59715 | 2016-01-06 |
1639422470 | Jamie Eileen Shafer | Physician Assistant | 1450 Ellis St, Bozeman, MT 59715-8812 | 2012-10-17 |
1326208547 | Jennifer Jo Smith | Physical Therapist | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2008-06-11 |
1063683209 | Joshua William Bendz Klatt | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2008-03-16 |
1811182769 | Marcie Renee Lovgren | Physician Assistant | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2007-09-12 |
1578769824 | Michael Shay Ferrell | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2007-06-25 |
1932324860 | Martin K Gelbke | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2007-04-16 |
1972534816 | Karen E. Claes | Physician Assistant | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2006-07-06 |
1588693741 | Richard N Vinglas | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2006-07-01 |
1750310926 | Bridger Orthopedics and Sports Medicine, PC | Durable Medical Equipment & Medical Supplies | 1450 Ellis St, Suite 201, Bozeman, MT 59715 | 2006-07-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
Find all providers in zip 59715 |
Taxonomy Code | 2086S0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgery of the Hand |
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972780054 | Gary P Crawford Md Inc | Surgery | 931 Highland Blvd Ste 3330, Bozeman, MT 59715-6912 | 2008-01-30 |
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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.