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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376684175 | Scott M Blake | Dentist | 333 S Woodruff Ave, Idaho Falls, ID 83401-4322 | 2007-02-12 |
Street Address |
1711 N 6TH 1/2 ST STE 100 |
City | TERRE HAUTE |
State | IN |
Zip Code | 47804-2700 |
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 Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
City | TERRE HAUTE |
Zip Code | 47804 |
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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.