DR. DAVID M BLAKE (NPI# 1295837094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295837094 |
| Entity Type | Individual |
| Full Name | DR. DAVID M BLAKE |
| Credential | MD |
| Practice Address |
1221 S Broadway # D302 Lexington KY 40504-2701 |
| Mailing Address |
1221 S Broadway Lexington KY 40504-2701 |
| Practice Telephone | 8592601273 |
| Practice Fax Number | 8592607719 |
| Mailing Telephone | 8592586200 |
| Mailing Fax Number | 8594254004 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
24357 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64243579 | 05 |
| 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 |
| 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 |
| 1063484210 | David Paul Blake | Surgery | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2006-02-02 |
| Street Address |
1221 S BROADWAY # D302 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215469366 | Paige Elise Sutton | Psychiatry & Neurology | 740 S Limestone Rm L-445, Lexington, KY 40536 | 2017-03-29 |
| 1356872238 | Fred Ochieng Odago | Psychiatry & Neurology | 3518 Willowood Rd, Lexington, KY 40517-2760 | 2017-03-23 |
| 1558811323 | Kentucky Medical Center, Psc | Psychiatry & Neurology | 208 Legends Ln, Suite 130, Lexington, KY 40505-3285 | 2016-10-05 |
| 1366852311 | Ruta Nandan Yardi | Psychiatry & Neurology | 740 S Limestone Ste B101, Lexington, KY 40536-0284 | 2014-04-30 |
| 1639511041 | Sushanth Rao Aroor | Psychiatry & Neurology | 740 S Limestone L445, Lexington, KY 40508-0284 | 2013-07-26 |
| 1629412150 | Lei Zhou | Psychiatry & Neurology | 740 S Limestone Room L-445, Lexington, KY 40536-1200 | 2013-04-26 |
| 1629344882 | Patricia A Kleinholz-owens | Psychiatry & Neurology | 1800 Nicholasville Rd Ste 301, Lexington, KY 40503-1443 | 2012-03-31 |
| 1801059464 | Nicole Anne Everman | Psychiatry & Neurology | 3470 Blazer Pkwy Ste 150, Lexington, KY 40509-1078 | 2008-07-03 |
| 1447393913 | Judy S Fine | Psychiatry & Neurology | 27 Saddle Club Rd, Lexington, MA 02420-2121 | 2007-02-15 |
| 1871659912 | John Charles O'connell | Psychiatry & Neurology | 811 Corporate Dr Ste 101, Lexington, KY 40503-5408 | 2006-12-30 |
| Find all providers in LEXINGTON | ||||
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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.