DR. SEAN BLAKE (NPI# 1497067540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497067540 |
| Entity Type | Individual |
| Full Name | DR. SEAN BLAKE |
| Credential | D.O. |
| Practice Address |
6767 Lake Woodlands Dr Ste F The Woodlands TX 77382-2566 |
| Mailing Address |
6767 Lake Woodlands Dr The Woodlands TX 77382-2566 |
| Practice Telephone | 2813641122 |
| Practice Fax Number | 2812102446 |
| Mailing Telephone | 2813641122 |
| Mailing Fax Number | 8326980153 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 069875 | GA | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
S0431 | TX | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
069875 | GA | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
069875 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBSGA | 52606838-001 | 01 |
| AL | BCBS-AL | 600-88733 | 01 |
| GA | MEDICAL LICENSE | 069875 | 01 |
| TX | TX MEDICAL LICENSE | S0431 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20639 Kuykendahl Rd, Spring, TX 773793586 | 8326980111 | |
| 6767 Lake Woodlands Dr Ste F, The Woodlands, TX 773822566 | 2813641122 | 2812102446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366538522 | Sean Michael Blake | Counselor | 340 S Broadway St, Akron, OH 44308-1529 | 2006-10-05 |
| Street Address |
6767 LAKE WOODLANDS DR STE F |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77382-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215196092 | Paul Carl Chin | Orthopaedic Surgery | 6767 Lake Woodlands Dr Ste F, The Woodlands, TX 77382-2566 | 2008-06-05 |
| 1518528835 | Egin Sam | Physical Medicine & Rehabilitation | 6767 Lake Woodlands Dr Ste F, The Woodlands, TX 77382-2566 | 2019-06-26 |
| 1629592704 | Cara Connolly Austin | Physical Therapist | 6767 Lake Woodlands Dr Ste F, The Woodlands, TX 77382-2566 | 2017-07-31 |
| 1942540596 | Nancy Miko Jefferson | Physical Therapist | 6767 Lake Woodlands Dr Ste F, The Woodlands, TX 77382-2566 | 2013-02-19 |
| 1154674828 | Viviana A. Molnar | Physical Therapist | 6767 Lake Woodlands Dr Ste F, The Woodlands, TX 77382-2566 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316461304 | Cns Neueospinemonitoring Pllc | Psychiatry & Neurology | 26 E. Loftwood Cir, The Woodlands, TX 77382 | 2017-08-01 |
| 1538510581 | Michael Guzman | Dentist | 8000 Mcbeth Way Ste 145, The Woodlands, TX 77382 | 2016-06-30 |
| 1235486721 | Priority Emergency Physicians- The Woodlands Pllc | Emergency Medicine | 3759 Fm 1488, The Woodlands, TX 77382 | 2012-08-14 |
| 1386907616 | Priority Emergency Room-the Woodlands,llc | Emergency Medicine | 3759 Fm 1488 Suite 500, The Woodlands, TX 77382 | 2012-06-21 |
| 1801177597 | Adrienne Archidiacono | Dentist | 6702 Sterling Ridge Dr, The Woodlands, TX 77382 | 2011-09-08 |
| 1881989788 | Kristi A Sikes | Psychiatry & Neurology | 6707 Sterling Ridge Drive, Suite C, The Woodlands, TX 77382 | 2011-06-20 |
| 1053548891 | Amit B Mori | Internal Medicine | 6900 Lake Woodlands Dr Apt 511, The Woodlands, TX 77382 | 2009-06-19 |
| 1467601930 | Marina Kamyshin | Physician Assistant | 8000 Research Forest Dr Ste 360, The Woodlands, TX 77382 | 2008-09-09 |
| 1841467974 | Steven Dominic Wright | Specialist/Technologist, Other | 6767 Lakewoodlands Dr, Spring, TX 77382 | 2008-05-08 |
| 1902096829 | Annette L. Franques | Speech-Language Pathologist | 17200 St. Lukes Way, The Woodlands, TX 77382 | 2007-07-26 |
| Find all providers in zip 77382 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained 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: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720454291 | Tmh Physician Organization | Orthopaedic Surgery | 17198 St Lukes Way Ste 600, The Woodlands, TX 77384-8017 | 2015-08-19 |
| 1881989853 | Omar Saad Dimachkieh | Orthopaedic Surgery | 9305 Pinecroft Dr Ste 400, The Woodlands, TX 77380-3482 | 2011-06-17 |
| 1114932845 | Paul Edward Kobza | Orthopaedic Surgery | 9006 Forest Xing, Suite E, The Woodlands, TX 77381-1185 | 2006-07-30 |
| 1962481671 | William John Jackson | Orthopaedic Surgery | 6767 Lake Woodlands Dr, Suite F, The Woodlands, TX 77382-2566 | 2006-01-11 |
| 1972507960 | Munir A Shah | Orthopaedic Surgery | 1441 Woodstead Ct, Ste 300, The Woodlands, TX 77380-1449 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1770939696 | Coastal Bend Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 49 W Bar Le Doc Dr, Corpus Christi, TX 78414-6250 | 2016-05-10 |
| 1619343159 | Tmh Physician Organization | Orthopaedic Surgery | 6624 Fannin, Suite 2600, Houston, TX 77030-2338 | 2015-08-19 |
| 1174999619 | Tmh Physician Organization | Orthopaedic Surgery | 10905 Memorial Hermann Dr Ste 120, Pearland, TX 77584-3490 | 2015-08-19 |
| 1093181562 | Tmh Physician Organization | Orthopaedic Surgery | 915 Gessner Rd., Pro 3, Suite 560, Houston, TX 77024-2572 | 2015-08-19 |
| 1336488501 | Liberty Surgical Associates Pllc | Orthopaedic Surgery | 306 E. Randol Mill Rd., Suite136, Arlington, TX 76011 | 2013-02-08 |
| 1760740930 | Jessica Wingfield | Orthopaedic Surgery | 12230 Coit Rd Ste 100, Dallas, TX 75251-2323 | 2012-04-25 |
| 1841596772 | Charity Mamaa Ogunro | Orthopaedic Surgery | 3670 W Wheatland Rd, Dallas, TX 75237-3462 | 2011-02-10 |
| 1598068835 | Michael Vernon Doyle Md | Orthopaedic Surgery | 8220 Walnut Hill Ln Ste 606, Dallas, TX 75231-4424 | 2010-12-08 |
| 1942520515 | Bryce Reed Bell | Orthopaedic Surgery | 18200 Katy Fwy Ste 520, Houston, TX 77094-1285 | 2010-06-07 |
| Find all providers with the same taxonomy | ||||
| City | THE WOODLANDS |
| Zip Code | 77382 |
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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.