BLAKE ANDREW MARTIN


Address: 3801 S National Ave Ste 700, Springfield, MO 65807-5210
Phone: 4178853888

BLAKE ANDREW MARTIN (NPI# 1821599382) 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) 1821599382
Entity Type Individual
Full Name BLAKE ANDREW MARTIN
Credential P.A.
Practice Address 3801 S National Ave Ste 700
Springfield
MO 65807-5210
Mailing Address 1411 E Primrose St Ste C
Springfield
MO 65804-4377
Practice Telephone 4178853888
Practice Fax Number 4715205959
Mailing Telephone 4178821207
Mailing Fax Number 4178817268
Enumeration Date 2018-02-21
Last Update Date 2018-02-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
2018004423 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers BLAKE MARTIN

NPI Name Taxonomy Address Enumeration
1770191587 Blake Martin Pharmacist 2020 Main St, Parsons, KS 67357-2700 2020-07-17
1770825044 Blake Martin Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2013-03-25

Office Location

Street Address 3801 S NATIONAL AVE STE 700
City SPRINGFIELD
State MO
Zip Code 65807-5210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881853158 Mayur Jayarao Neurological Surgery 3801 S National Ave Ste 700, Springfield, MO 65807 2008-06-03
1497124408 William Gregory Bottom Registered Nurse 3801 S National Ave Ste 700, Springfield, MO 65807-5210 2015-09-20
1235367665 Angela Nicole Spurgeon Neurological Surgery 3801 S National Ave Ste 700, Springfield, MO 65807-5210 2009-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396390241 Karley Kassandra Murphy Counselor 3734 South Ave #c, Springfield, MO 65807 2019-08-07
1396203626 Auvia L Logan Dietitian, Registered 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 2019-03-05
1598250961 Kathryn Barber Nurse Practitioner 3800 S National Ave Ste 700, Springfield, MO 65807 2018-06-27
1447764899 Missouri Midwifery Service Clinic/Center 3840 South Avenue, Springfield, MO 65807 2017-11-21
1124530290 Senior Living Management Group, LLC Skilled Nursing Facility 3705 S Jefferson Ave, Springfield, MO 65807 2017-10-30
1740663335 Sarah E Kirk Physical Therapist 3545 S. National Ave, Springfield, MO 65807 2015-07-01
1750713335 Amanda Ward Nurse Practitioner 2150 W Republic Rd Ste 112, Springfield, MO 65807 2013-08-06
1932531126 Eugenia R Cortez Counselor 2124 Chesterfield Blvd., Springfield, MO 65807 2013-07-30
1962742866 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3045 W Republic St, Springfield, MO 65807 2013-03-01
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
Find all providers in zip 65807

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629592225 Justin William Starling Physician Assistant 1515 Keys Ave, Springfield, IL 62702-2933 2017-07-26
1710435011 Alexander Andersen Physician Assistant 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 2016-09-14
1932538980 Emily Baecher Physician Assistant 2 Medical Cetner Dr, Suite 205, Springfield, MA 01199-1619 2013-11-09
1699114421 Lauren M Kendall Physician Assistant 960 N 16th St Ste 108, Springfield, OR 97477-4175 2013-06-14
1750660148 Daniel Francis Reilly Jr. Physician Assistant 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 2011-08-16
1831499383 Christin Wolak Physician Assistant 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 2010-11-01
1811200710 Jessica Anne White Physician Assistant 25 Ridgewood Rd., Esne, Springfield, VT 05156 2010-07-20
1043540669 Kristen Dawn Dodd Physician Assistant 960 N 16th St Ste 207, Springfield, OR 97477-4175 2010-01-04
1831337765 Cynthia R. Krinochkin Physician Assistant 3801 S. National, 5th Floor, Springfield, MO 65807-5210 2009-01-30
1578746079 Jamie Moore Physician Assistant 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 2007-12-07
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 65807

Improve Information

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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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