BLAKE A SPAIN (NPI# 1952416331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952416331 |
| Entity Type | Individual |
| Full Name | BLAKE A SPAIN |
| Credential | MD |
| Practice Address |
920 Church St N Concord NC 28025-2927 |
| Practice Telephone | 7044031331 |
| Practice Fax Number | 7044032533 |
| Mailing Telephone | 7044031331 |
| Mailing Fax Number | 7044032533 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2014-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
9800704 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
9800704 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 1281816 | 01 | |
| NC | 791053H | 05 | |
| CIGNA HEALTHCARE | 9840261 | 01 | |
| NC | BCBS ALL PLANS | 1053H | 01 |
| MEDCOST | 200322 | 01 |
| Street Address |
920 CHURCH ST N |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647808 | Leanne Smith | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2005-05-30 |
| 1104431014 | Mrunmayee Manohar Shete | Genetic Counselor, MS | 920 Church St N, Concord, NC 28025-2927 | 2020-09-09 |
| 1083232144 | Sarah Elizabeth Garfinkle | Pharmacist | 920 Church St N, Concord, NC 28025-2927 | 2020-07-06 |
| 1184248924 | Dustin Edwards | Physician Assistant | 920 Church St N, Concord, NC 28025-2927 | 2020-06-06 |
| 1396372892 | Zaki Krishan Faraz Dard | Student in an Organized Health Care Education/Training Program | 920 Church St N, Concord, NC 28025-2927 | 2020-03-24 |
| 1477185825 | Tonda Vanderburg Proulx | Nurse Practitioner | 920 Church St N, Concord, NC 28025-2927 | 2020-02-04 |
| 1245870724 | Caroline A. Miller | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2020-01-13 |
| 1316585417 | Adam Beam | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2019-12-19 |
| 1114565496 | Kendal Brianne Mcmakin | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2019-12-17 |
| 1962053561 | Amanda Huneycutt Helms | Nurse Practitioner | 920 Church St N, Concord, NC 28025-2927 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1235547084 | Mass Lung & Allergy PC | Internal Medicine | 131 Old Rd To 9 Corner, Suite 410, Concord, MA 01742 | 2014-07-24 |
| 1497716989 | Cmc-northeast, Inc. | Internal Medicine | 219 Le Phillip Ct Ne, Northeast Lung Associates, Concord, NC 28025-2900 | 2006-04-01 |
| 1750718243 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 1090 Ne Gateway Ct Ne, Ste 201, Concord, NC 28025-2414 | 2013-09-30 |
| 1144589375 | Catherine A. Stadler | Internal Medicine | 246 Pleasant Street Memorial Building, West, Ground Flo, Concord, NH 03301-2588 | 2012-05-08 |
| 1730404997 | Amanda White | Internal Medicine | 1090 Ne Gateway Ct Ne, Ste 201, Concord, NC 28025-2414 | 2010-03-31 |
| 1639335169 | Chau Taylor | Internal Medicine | 1090 Ne Gateway Ct Ne, Ste 201, Concord, NC 28025-2414 | 2008-08-04 |
| 1316107337 | Jorge A Salazar-suero Md, Inc | Internal Medicine | 2211 East St, Concord, CA 94520-2013 | 2008-06-12 |
| 1750577946 | Julie Plante | Internal Medicine | 248 Pleasant St, Suite G100, Concord, NH 03301-2588 | 2007-09-20 |
| 1881809994 | Iyad Asaad | Internal Medicine | 1090 Ne Gateway Ct Ne, Ste 201, Concord, NC 28025-2414 | 2007-05-11 |
| 1598886749 | Thomas S Johnson | Internal Medicine | Damonmill Square, Suite 6a, Concord, MA 01742 | 2007-04-03 |
| Find all providers in CONCORD | ||||
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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.