MARK F BLAKE MD, SC (NPI# 1639739030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639739030 |
| Entity Type | Organization |
| Organization Name | MARK F BLAKE MD, SC |
| Practice Address |
5201 N Port Washington Rd Milwaukee WI 53217-4902 |
| Practice Telephone | 4149630500 |
| Practice Fax Number | 4147550743 |
| Mailing Telephone | 4149630500 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | MR. MARK F BLAKE (PRESIDENT) |
| Authorized Official Telephone | 4149630500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
5201 N PORT WASHINGTON RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53217-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154375996 | Roger C Mixter | Plastic Surgery | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2006-05-19 |
| 1730528027 | Sarah Catherine Schmidt | Physician Assistant | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2013-06-19 |
| 1932395209 | Clinic of Cosmetic Surgery Sc | Plastic Surgery | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2007-09-20 |
| 1912007915 | Alison Brianna Levenick | Physician Assistant | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2006-09-22 |
| 1225074933 | Mark Francis Blake | Plastic Surgery | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1154375996 | Roger C Mixter | Plastic Surgery | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2006-05-19 |
| 1255307997 | Lawrence A. Sterkin | Plastic Surgery | 2801 W Kinnickinnic River Pkwy Ste 540, Milwaukee, WI 53215-3678 | 2006-02-23 |
| 1760914378 | Miles Bichanich | Plastic Surgery | 1155 N Mayfair Rd, Ste. T2600- South Entry, Milwaukee, WI 53226-3462 | 2017-04-02 |
| 1689105397 | Meng Guo | Plastic Surgery | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-03-23 |
| 1134521602 | Kuylhee Kim | Plastic Surgery | 9200 W Wisconsin Ave, Dept of Plastic Surgery, Milwaukee, WI 53226-3522 | 2014-09-16 |
| 1588009658 | Harry S Nayar | Plastic Surgery | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 | 2013-05-02 |
| 1427363449 | Justin R Bryant | Plastic Surgery | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2010-08-13 |
| 1588985402 | Aaron Morgan | Plastic Surgery | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2010-06-15 |
| 1770713182 | Nyama M Sillah | Plastic Surgery | 2801 W Kinnickinnic River Pkwy, Suite 430, Milwaukee, WI 53215-3669 | 2009-07-20 |
| Find all providers in MILWAUKEE | ||||
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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.