DR. BLAKE RANDOLPH CHARLTON


Address: 3841 Piper St Ste T100, Anchorage, AK 99508-4674
Phone: 9075613211

DR. BLAKE RANDOLPH CHARLTON (NPI# 1982946315) 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) 1982946315
Entity Type Individual
Full Name DR. BLAKE RANDOLPH CHARLTON
Credential M.D.
Practice Address 3841 Piper St Ste T100
Anchorage
AK 99508-4674
Practice Telephone 9075613211
Mailing Telephone 9075613211
Enumeration Date 2013-03-24
Last Update Date 2020-06-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
162044 AK Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
505 Parnassus Ave, Rm 987, San Francisco, CA 941430119 6504007206

Office Location

Street Address 3841 PIPER ST STE T100
City ANCHORAGE
State AK
Zip Code 99508-4674

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053418632 Elizabeth A. Garrity Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508 2006-09-17
1568070654 Amanda D Ellis Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2020-07-15
1710514757 Gabriel R Holland Physician Assistant 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2020-03-26
1427691864 Claudia Proelss Smith Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2019-10-17
1902376437 Nathan Friederichs Physician Assistant 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2018-11-27
1912499211 Amy Jeanette Hart Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2018-06-01
1487169686 Jonathan James Tower Physician Assistant 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2017-12-10
1831613694 Kristine Dianne Lubaton Polintan Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2017-08-02
1265984181 Theresa Gale Hall Nurse Practitioner 3841 Piper St Ste T100, Anchorage, AK 99508-4674 2016-10-26
1801274493 Yuriy Tretyak Physician Assistant 3841 Piper St Ste T100, Anchorage, AK 99508 2015-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255302717 Romel C Wrenn Internal Medicine 1650 Cowles St, Fairbanks, AK 99701 2006-01-31

Competitor

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City ANCHORAGE
Zip Code 99508

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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