Alice P Blake (NPI# 1508805078, PAC ID# 1254493372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508805078 |
| PAC ID by PECOS | 1254493372 |
| Professional Enrollment ID | I20081229000055 |
| Full Name | Alice P Blake |
| Address |
222 N 2nd St 304 Boise Family Practice Boise ID 83702-6131 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 222 N 2nd St, 304 Boise Family Practice, Boise, ID 83702-6131 |
| Street Address |
222 N 2ND ST 304 BOISE FAMILY PRACTICE |
| City | BOISE |
| State | ID |
| Zip | 83702-6131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan C Mcintyre | Physician Assistant | Ashley A Davis M.d.p.c. | 222 N 2nd St, Suite 204, Boise, ID 83702-6130 |
| Ciara R Huntington | General Surgery | Huntington Laparoscopy PC | 222 N 2nd St, Suite 107, Boise, ID 83702-6129 |
| Karen M Redwine | Pediatric Medicine | St Lukes Clinic-treasure Valley LLC | 222 N 2nd St, Suite 215, Boise, ID 83702-6130 |
| Glenn H Weyhrich | Obstetrics/gynecology | Darin L Weyhrich M D P A | 222 N 2nd St, Suite 206, Boise, ID 83702-6130 |
| Ashlee E Bauter | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 222 N 2nd St, Suite 311, Boise, ID 83702-6131 |
| Thomas R Huntington | General Surgery | 222 N 2nd St, Suite 107, Boise, ID 83702-6129 | |
| Kurt Earl Kinghorn | Podiatry | 222 N 2nd St, Suite 301, Boise, ID 83702-6131 | |
| Ashley A Davis | Family Medicine | Ashley A Davis M.d.p.c. | 222 N 2nd St, Suite 204, Boise, ID 83702-6130 |
| Erik S Jones | Family Medicine | 222 N 2nd St, Suite 202, Boise, ID 83702-6130 | |
| Darin L Weyhrich | Obstetrics/gynecology | Darin L Weyhrich M D P A | 222 N 2nd St, Suite 206, Boise, ID 83702-6130 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim Kutzner | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Stacey L Scanlan | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Jody Alison Thatcher Bullard | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Ali Lubbers | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| David A Teed | Clinical Social Worker | 1407 N 13th St, Boise, ID 83702-3531 | |
| Martha Ann Stacy | Psychologist, Clinical | 1718 W Jefferson St, Boise, ID 83702-3949 | |
| Renee Ours Bild | Clinical Social Worker | 1718 W Jefferson St, Boise, ID 83702-3949 | |
| Amber L Simonson | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Todd Anthony Noble | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Lauren M Huber | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Find all physicians in zip 83702 | |||
| City | BOISE |
| Zip Code | 83702 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BOISE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Alice P Blake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.