MATTHEW BLAKE (NPI# 1730396904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730396904 |
| Entity Type | Individual |
| Full Name | MATTHEW BLAKE |
| Credential | M.D. |
| Practice Address |
6100 S Louise Ave Ste 2100 Sioux Falls SD 57108-6021 |
| Mailing Address |
911 E 20th St Ste 300 Sioux Falls SD 57105-1045 |
| Practice Telephone | 6055041100 |
| Mailing Telephone | 6053221300 |
| Mailing Fax Number | 6053221301 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 0101252248 | VA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
10419 | SD | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
49155 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 911 E 20th St Ste 300, Sioux Falls, SD 571051045 | 6053221300 | 6053221301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811530017 | Matthew Blake | Hearing Instrument Specialist | 804 S Broadway St Ste 1, Georgetown, KY 40324-2304 | 2019-10-21 |
| 1699278952 | Matthew Alexander Blake | Military Health Care Provider | 1336 Brunner St Apt H, San Diego, CA 92110-1690 | 2018-03-13 |
| 1578191250 | Matthew Daniel Blake | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-30 |
| 1154717080 | Matthew Blake | Student in an Organized Health Care Education/Training Program | 272 Hospital Rd, Chillicothe, OH 45601-9031 | 2015-04-07 |
| 1720344005 | Matthew Clark Blake | Occupational Therapy Assistant | 200 Wyant Rd, Akron, OH 44313 | 2012-04-11 |
| Street Address |
6100 S LOUISE AVE STE 2100 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982821898 | Michael Coale Devish | Orthopaedic Surgery | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 | 2007-04-20 |
| 1093262131 | Avera Mckennan | Durable Medical Equipment & Medical Supplies | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 | 2016-09-07 |
| 1124437595 | Ruth Ranum Moen | Podiatrist | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6029 | 2014-08-10 |
| 1326461088 | Tyler Ray Krome | Physician Assistant | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 | 2014-01-30 |
| 1447509203 | Rocio Carolina Fuentes Barrow | Orthopaedic Surgery | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 | 2012-09-07 |
| 1679860548 | Brian Thomas Dix | Podiatrist | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 | 2011-06-29 |
| 1386975530 | Kerry Louise Vanoverbeke | Physician Assistant | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 | 2010-01-27 |
| 1467654509 | Garrison Lawrence Whitaker | Orthopaedic Surgery | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215354386 | Nicole Rose Dahms | Orthopaedic Surgery | 2908 E 26th St, Sioux Falls, SD 57103-4089 | 2014-03-26 |
| 1316230667 | Nathan William Skelley | Orthopaedic Surgery | 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 | 2011-05-19 |
| 1538310107 | Chad A Kurtenbach | Orthopaedic Surgery | 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4647 | 2008-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821172917 | Robert E Mcwhirter | Orthopaedic Surgery | 1222 East 7th Ave, Mitchell, SD 57301-2953 | 2006-10-25 |
| City | SIOUX FALLS |
| Zip Code | 57108 |
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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.