SCOTT PATRICK BLAKE


Address: 1711 N 6th 1/2 St Ste 100, Terre Haute, IN 47804-2700
Phone: 8592577616

SCOTT PATRICK BLAKE (NPI# 1700318987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700318987
Entity Type Individual
Full Name SCOTT PATRICK BLAKE
Practice Address 1711 N 6th 1/2 St Ste 100
Terre Haute
IN 47804-2700
Mailing Address 280 Morse Landing Dr
Cicero
IN 46034-9519
Practice Telephone 8592577616
Mailing Telephone 3173793893
Enumeration Date 2017-03-28
Last Update Date 2017-03-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers SCOTT BLAKE

NPI Name Taxonomy Address Enumeration
1376684175 Scott M Blake Dentist 333 S Woodruff Ave, Idaho Falls, ID 83401-4322 2007-02-12

Office Location

Street Address 1711 N 6TH 1/2 ST STE 100
City TERRE HAUTE
State IN
Zip Code 47804-2700

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568971885 Tiffany Marshall Physical Therapist North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 2017-09-29
1336565423 Deondra Allison Cottrill Physical Therapy Assistant 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 2014-03-13
1043635170 Patricia Klos Physical Therapy Assistant 1606 Nth 7th Street, Terre Haute, IN 47804 2014-02-26
1043565476 Debra Denehie Hills Registered Nurse 620 8th Avenue, Terre Haute, IN 47804 2012-07-23
1841503257 Meredeth Su Gray Dentist 1608 Lafayette Avenue, Terre Haute, IN 47804 2010-07-15
1083946628 John Barton, Lpt Health Maintenance Organization 1818 N 3rd Street, Terre Haute, IN 47804 2010-02-08
1750584009 Kool Smiles In-3, PC Dentist 1800 Fort Harrison Rd, Terra Haute, IN 47804 2007-06-06
1619006988 Union Hospital Inc Student in an Organized Health Care Education/Training Program 1513 N 6 1-2 Street, Terre Haute, IN 47804 2007-03-05
1730243080 John Lee Nichols Dentist 1246 Maple Ave, Terre Haute, IN 47804 2006-12-21
1093894057 Isaac N Mitre Obstetrics & Gynecology 1623 N 4th Street, Terre Haute, IN 47804 2006-11-02
Find all providers in zip 47804

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518404656 Kayla Boye Student in an Organized Health Care Education/Training Program 527 S 5th St, Terre Haute, IN 47807-4307 2017-01-27
1679010375 Camille Weight Student in an Organized Health Care Education/Training Program 3002 Maple Ave, Terre Haute, IN 47804-3942 2017-01-20
1508315854 Emily Ann Scully Student in an Organized Health Care Education/Training Program 2185 Stone Creek Ln, Terre Haute, IN 47802-5437 2016-09-28
1578866208 Charles Michael Kutch Student in an Organized Health Care Education/Training Program 4011 E Linn Ave, Terre Haute, IN 47805-2012 2010-12-20
1619006988 Union Hospital Inc Student in an Organized Health Care Education/Training Program 1513 N 6 1-2 Street, Terre Haute, IN 47804 2007-03-05
1225002975 Binne Brouwer Student in an Organized Health Care Education/Training Program 1437 Tippecanoe St, Terre Haute, IN 47807-2246 2006-02-16
1235103656 Evert Gene Siebert Student in an Organized Health Care Education/Training Program 7th Street, Indiana State University, Arena Building, Terre Haute, IN 47807 2006-02-14
1558334268 Allison Lee Judy Student in an Organized Health Care Education/Training Program 5429 Village Walk Cir, Apt. B, Terre Haute, IN 47803-4257 2006-02-12
1003889718 Alyssa Lee Stephenson Student in an Organized Health Care Education/Training Program 5477 Village Green Ct, Apt. C, Terre Haute, IN 47803-4279 2006-02-12
1891312674 Caleb M Unger Student in an Organized Health Care Education/Training Program 1530 N 7th St Ste 200, Terre Haute, IN 47807-1061 2020-06-29
Find all providers in TERRE HAUTE

Competitor

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City TERRE HAUTE
Zip Code 47804

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Dataset Information

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.

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