DAVID BLAKE (NPI# 1831161348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831161348 |
| Entity Type | Individual |
| Full Name | DAVID BLAKE |
| Credential | M.D. |
| Practice Address |
14555 W National Ave Ste 192 New Berlin WI 53151-4494 |
| Mailing Address |
100-15th Ave Ste 180 South Milwaukee WI 53172-1160 |
| Practice Telephone | 2628272959 |
| Practice Fax Number | 2628272948 |
| Mailing Telephone | 4148272959 |
| Mailing Fax Number | 2628272948 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
19654 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1295837094 | David M Blake | Psychiatry & Neurology | 1221 S Broadway # D302, Lexington, KY 40504-2701 | 2006-09-02 |
| 1598266462 | David Blake | Physician Assistant | 1049 Main St, Springfield, MA 01103-2114 | 2018-02-26 |
| 1326054255 | David Allen Blake | Anesthesiology | 225 S Lake Ave, Suite 535, Pasadena, CA 91101-3005 | 2006-07-31 |
| 1548233125 | David P Blake | Surgery | 640 Jackson Street, Mc 11503k, St Paul, MN 55102-2502 | 2006-02-13 |
| 1063484210 | David Paul Blake | Surgery | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2006-02-02 |
| Street Address |
14555 W NATIONAL AVE STE 192 |
| City | NEW BERLIN |
| State | WI |
| Zip Code | 53151-4494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962495978 | Richard D. Basile | Internal Medicine | 14555 W National Ave, Suite 170, New Berlin, WI 53151-4494 | 2005-08-24 |
| 1629685110 | Courtney Amborn | Physical Therapist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2020-09-28 |
| 1629613799 | Daniel Delach | Physical Therapist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2019-11-13 |
| 1730604935 | Courtney Malina Kinney | Physical Therapist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2017-08-08 |
| 1942741756 | Gena Scales | Physical Therapist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2017-03-13 |
| 1578014601 | Maria Cook | Physical Therapist | 14555 W National Ave, Suite 195, New Berlin, WI 53151-4494 | 2016-10-24 |
| 1427501014 | Jeeyoon Kristy Kang | Pharmacist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2016-07-29 |
| 1639575442 | Karen Heintz | Pharmacist | 14555 W National Ave, New Berlin, WI 53151-4494 | 2014-11-06 |
| 1992107163 | Weizhong Song | Physician Assistant | 14555 W National Ave, Suite 120, New Berlin, WI 53151-4494 | 2014-09-19 |
| 1487074910 | Leah Probst | Internal Medicine | 14555 W National Ave, New Berlin, WI 53151-4494 | 2014-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629527486 | Natural Look Salon and Wigs LLC | Durable Medical Equipment & Medical Supplies | 4805 S. Moorland Rd, New Berlin, WI 53151 | 2016-09-22 |
| 1396193033 | New Berlin Medical Services, LLC | Clinic/Center | 15324 W Beloit Road, New Berlin, WI 53151 | 2016-06-02 |
| 1063899680 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 15300 West Grange Avenue, New Berlin, WI 53151 | 2015-05-04 |
| 1871970368 | Mary Spath | Physical Therapy Assistant | 2810 South Acredale Road, New Berlin, WI 53151 | 2015-05-04 |
| 1669885471 | Wauwatosa Prescription Center, Inc. | Pharmacy | 4855 S Moorland Road, New Berlin, WI 53151 | 2014-06-09 |
| 1750711446 | Pure Family Chiropractic LLC | Chiropractor | 3504 S. Moorland Road, New Berlin, WI 53151 | 2013-11-18 |
| 1336578202 | Hamilton John Dowden | Chiropractor | 3504 S Moorland Rd, New Berlin, WI 53151 | 2013-11-01 |
| 1053653618 | Danielle Lynn Lucio | Acupuncturist | 15807 W. National Ave., New Berlin, WI 53151 | 2013-03-21 |
| 1306195110 | Marlena J Friedrich | Registered Nurse | 1709 S. 171st Street, New Berlin, WI 53151 | 2012-09-07 |
| 1548519176 | Patricia M Friedrich | Licensed Practical Nurse | 1709 So. 171st Street, New Berlin, WI 53151 | 2012-08-29 |
| Find all providers in zip 53151 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134195159 | Stephen C Medlin | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 980, Milwaukee, WI 53215 | 2006-02-28 |
| 1972913614 | Bronwen E Shaw | Internal Medicine | 9200 W Wisconsin Ave, Division of Hematology/oncology, Milwaukee, WI 53226-3522 | 2014-05-03 |
| 1982996906 | Bradford S Schwartz | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2011-05-10 |
| 1386890978 | Vaishalee Padgaonkar Kenkre | Internal Medicine | 600 Highland Ave, Madison, WI 53792 | 2008-08-14 |
| 1689837379 | Saurabh Chhabra | Internal Medicine | 9200 W Wisconsin Ave, Hematology and Oncology, Milwaukee, WI 53226-3522 | 2008-07-03 |
| 1114121092 | Christopher D Fletcher | Internal Medicine | 600 Highland Ave, K6/510 Csc, Madison, WI 53792-0001 | 2007-06-13 |
| 1609938067 | Joshua J Field | Internal Medicine | 9200 W Wisconsin Ave, Division of Neoplastic Diseases, Milwaukee, WI 53226-3522 | 2006-12-14 |
| 1306932561 | Y Gregory Lin | Internal Medicine | 1000 N Oak Ave, Marshfield, WI 54449 | 2006-10-05 |
| 1548360803 | Richard J Mercier | Internal Medicine | 1000 N Oak Ave, Marshfield, WI 54449 | 2006-09-25 |
| 1538184825 | Ryan J Mattison | Internal Medicine | 600 Highland Ave, Madison, WI 53792 | 2006-07-13 |
| Find all providers with the same taxonomy | ||||
| City | NEW BERLIN |
| Zip Code | 53151 |
Please comment or provide details below to improve the information on DAVID BLAKE.
| 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.