BLAKE D. ALEXANDER, MD PC (NPI# 1447588280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447588280 |
| Entity Type | Organization |
| Organization Name | BLAKE D. ALEXANDER, MD PC |
| Practice Address |
1101 Standiford Ave Suite A-3 Modesto CA 95350-0982 |
| Practice Telephone | 2095785072 |
| Practice Fax Number | 2095785292 |
| Mailing Telephone | 2095785072 |
| Mailing Fax Number | 2095785292 |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |
| Authorized Official Name | BLAKE D. ALEXANDER (OWNER) |
| Authorized Official Telephone | 2095785072 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
C52849 | CA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | C52849 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1101 STANDIFORD AVE SUITE A-3 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-0982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942292818 | Mark Duane Welch | Chiropractor | 1101 Standiford Ave, Ste A6, Modesto, CA 95350-0982 | 2005-08-17 |
| 1972138386 | A Nd T Hope 4 Change | Counselor | 1101 Standiford Ave, Modesto, CA 95350-0982 | 2020-03-05 |
| 1477981470 | Amy A Arreygue | Acupuncturist | 1101 Standiford Ave, Suite A-1, Modesto, CA 95350-0982 | 2013-10-29 |
| 1487961827 | Aruna D Rao Md | Physical Medicine & Rehabilitation | 1101 Standiford Ave, B-6, Modesto, CA 95350-0982 | 2010-09-07 |
| 1033378633 | Marlena Helen Yokaitis | Dentist | 1101 Standiford Ave, Suite D-3, Modesto, CA 95350 | 2008-06-09 |
| 1508050576 | Carolyn Scott Ahlem | Marriage & Family Therapist | 1101 Standiford Ave, B-2, Modesto, CA 95350 | 2007-08-31 |
| 1154440543 | Teresa Schellman | Counselor | 1101 Standiford Ave, Suite B-2, Modesto, CA 95350-0982 | 2007-03-28 |
| 1902935893 | Fred P. Guarcello, Od | Optometrist | 1101 Standiford Ave, Suite A-2, Modesto, CA 95350-0982 | 2007-03-05 |
| 1588707087 | Charles Evans Wood | Social Worker | 1101 Standiford Ave, Suite B4, Modesto, CA 95350-0982 | 2007-02-14 |
| 1659419463 | Welch Chiropractic Office | Chiropractor | 1101 Standiford Ave, Ste A6, Modesto, CA 95350-0982 | 2007-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093079485 | Modesto Dermatology and Skin Cancer PC | Dermatology | 3105 Mchenry Ave, Modesto, CA 95350-1439 | 2012-06-29 |
| 1578641387 | Stefan C. Weiss | Dermatology | 2001 Mchenry Ave Ste C, Modesto, CA 95350 | 2006-11-01 |
| 1205859154 | Mchenry Medical Group Inc | Dermatology | 1541 Florida Avenue, Suite 200, Modesto, CA 95350 | 2006-07-25 |
| 1770570814 | Thomas Lathrop Hall | Dermatology | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2005-10-04 |
| 1891062857 | Madelaine Michele Haddican | Dermatology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2011-11-18 |
| 1760616270 | Greater Modesto Medical Surgical Associates Inc. | Dermatology | 1541 Florida Ave, Suite 200, Modesto, CA 95350-4429 | 2009-05-12 |
| 1063530749 | Shirley L Van | Dermatology | 1429 College Ave, Suite B, Modesto, CA 95350-4046 | 2007-03-27 |
| 1619078961 | Daniel J. Trozak, M.d., A.p.c. | Dermatology | 1444 Florida Ave, Suite 201, Modesto, CA 95350-4400 | 2006-09-26 |
| 1033132170 | Blake Daniel Alexander | Dermatology | 1101 Standiford Ave, Suite A-3, Modesto, CA 95350-0982 | 2006-07-26 |
| 1235160102 | Gary Wagner | Dermatology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2006-07-06 |
| Find all providers in MODESTO | ||||
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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.