HEIDI C BLAKE (NPI# 1639109267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639109267 |
| Entity Type | Individual |
| Full Name | HEIDI C BLAKE |
| Credential | M.D. |
| Practice Address |
5 Alumni Dr Exeter NH 03833-2128 |
| Practice Telephone | 6035806793 |
| Practice Fax Number | 6035807006 |
| Mailing Telephone | 6035806793 |
| Mailing Fax Number | 6035807006 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
15691 | NH | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
014658 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275871527 | Heidi Ann Blake | Nurse Anesthetist, Certified Registered | 700 Childrens Dr, Columbus, OH 43205-2664 | 2013-01-22 |
| 1730347121 | Heidi Blake | Internal Medicine | 330 Brookline Ave, Boston, MA 02215-5400 | 2008-06-02 |
| 1336318633 | Heidi Ann Blake | Physical Medicine & Rehabilitation | 234 Birchtree Dr, Greenwood, SC 29649-1502 | 2008-02-21 |
| Street Address |
5 ALUMNI DR |
| City | EXETER |
| State | NH |
| Zip Code | 03833-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974680 | Elizabeth J Welch Marsh | Anesthesiology | 5 Alumni Dr, Anesthesia Department, Exeter, NH 03833-2128 | 2005-07-05 |
| 1376001438 | Justin Metheny | Nurse Anesthetist, Certified Registered | 5 Alumni Dr, Exeter, NH 03833-2128 | 2019-03-07 |
| 1487160917 | Minerva Sabin | Nurse Practitioner | 5 Alumni Dr, Exeter, NH 03833 | 2017-12-20 |
| 1265967061 | Victoria Slaven | Internal Medicine | 5 Alumni Dr, Exeter, NH 03833-2128 | 2017-04-29 |
| 1831635341 | Taylor Brown | Specialist/Technologist | 5 Alumni Dr, Exeter, NH 03833-2128 | 2017-01-09 |
| 1235591744 | Debra Rachel Simon | Pediatrics | 5 Alumni Dr, Exeter, NH 03833-2128 | 2016-03-23 |
| 1386004265 | Mary Maceachern-crain | Nurse Practitioner | 5 Alumni Dr, Exeter, NH 03833-2128 | 2016-03-04 |
| 1790153146 | Heather Anne Cale | Hospitalist | 5 Alumni Dr, Exeter, NH 03833-2128 | 2015-09-02 |
| 1356738876 | Lisa Carol Armstrong | Nurse Practitioner | 5 Alumni Dr, Exeter, NH 03833-2128 | 2015-04-22 |
| 1316360738 | Patrick C Johnson | Nurse Anesthetist, Certified Registered | 5 Alumni Dr, Exeter, NH 03833-2128 | 2014-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848836 | Leanora Legrand | Social Worker | 10 Hilliard Road, Kensington, NH 03833 | 2015-08-10 |
| 1861890691 | Jennifer Thomas | Nurse Practitioner | 5 Alumni Drv., Exeter Hospital, Exeter, NH 03833 | 2014-12-10 |
| 1578962791 | Through The Trees: Communication Center for Children and Adults | Speech-Language Pathologist | 175 Drinkwater Rd, Kensington, NH 03833 | 2014-08-14 |
| 1225318579 | Bernadette M Blake | Social Worker | 23 Oak Street, Exeter, NH 03833 | 2011-08-18 |
| 1710295746 | Carl Matthew Boscketti | Dentist | 193 High St., Exeter, NH 03833 | 2010-09-24 |
| 1750515870 | Nicole M. Dawson | Chiropractor | 29 Shannon Way, Brentwood, NH 03833 | 2009-05-04 |
| 1841411535 | Diana Lyell I | Specialist | 19 Hampton Road, Exeter, NH 03833 | 2007-05-01 |
| 1922131630 | Ellen Bennett | Physician Assistant | 21 Hampton Rd Bldg 3 Fl 1, Exeter, NH 03833 | 2007-03-13 |
| 1013072008 | Scott Thomas Bleakley | Social Worker | 163 Water Street, Exeter, NH 03833 | 2006-12-27 |
| 1184785289 | J Bruce Bartolini | Internal Medicine | 21 Hampton Rd Bldg. 3, 2nd Fl, Exeter, NH 03833 | 2006-12-12 |
| Find all providers in zip 03833 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497845101 | Exeter Emergency Physicians Pa | Emergency Medicine | 5 Alumni Dr, Exeter, NH 03833-2128 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598710618 | Monadnock Community Hospital | Emergency Medicine | 452 Old Street Road, Peterborough, NH 03458-1263 | 2006-05-24 |
| 1811969249 | Juwen Lin | Emergency Medicine | 3 Stone Post Rd, Salem, NH 03079-2245 | 2006-02-01 |
| 1588051668 | Lauren Hyde | Emergency Medicine | 250 Pleasant St, Concord, NH 03301 | 2015-04-16 |
| 1669866141 | Matthew Causland Ruppel | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2015-03-24 |
| 1396030391 | Elizabeth J Hoffman | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2011-06-17 |
| 1982920427 | Stephen G Kraunz | Emergency Medicine | 4 Fairfield Dr, Dover, NH 03820 | 2010-04-08 |
| 1003074832 | Ashley Ann Fox | Emergency Medicine | 250 Pleasant Street, Emergency Dept, Concord, NH 03301-7539 | 2008-05-29 |
| 1124226873 | Eric J Hoffman | Emergency Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2007-07-04 |
| 1730232232 | Emergency Physicians of Derry Pllc | Emergency Medicine | 1 Parkland Dr, Derry, NH 03038-2746 | 2007-01-19 |
| 1578627295 | Eric Michael Lasky | Emergency Medicine | 452 Old Street Rd, Peterborough, NH 03458-1263 | 2006-12-20 |
| Find all providers with the same taxonomy | ||||
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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.