Jon Kevin Blake (NPI# 1700846193, PAC ID# 3779764857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1700846193 |
PAC ID by PECOS | 3779764857 |
Professional Enrollment ID | I20110222001163 |
Full Name | Jon Kevin Blake |
Address |
925 E Main St Jon K Blake Md Gas City IN 46933-1550 |
Phone Number | 7656747889 |
Gender | M |
Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | GENERAL PRACTICE |
Secondary Specialties | ADDICTION MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150011 | MARION GENERAL HOSPITAL |
151302 | INDIANA UNIVERSITY HEALTH BLACKFORD HOSPITAL |
Address | Phone | Organization |
---|---|---|
925 E Main St, Jon K Blake Md, Gas City, IN 46933-1550 | 7656747889 |
Street Address |
925 E MAIN ST JON K BLAKE MD |
City | GAS CITY |
State | IN |
Zip | 46933-1550 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard M Hope | Optometry | 925 E Main St, Mount Joy, PA 17552-9546 | |
Angela Stoltz Savitski | Registered Dietitian Or Nutrition Professional | Contemporary Nutrition, Inc. | 925 E Main St, Suite 42, Havelock, NC 28532-2375 |
Jaime Lynn Lewis | Registered Dietitian Or Nutrition Professional | Contemporary Nutrition, Inc. | 925 E Main St, Suite 42, Havelock, NC 28532-2375 |
Roger Norris | Clinical Social Worker | 925 E Main St, Suite 10, Havelock, NC 28532-2375 | |
Dennis A Abegglen | Chiropractic | 925 E Main St, Merrill, WI 54452-2502 | |
Abigail Margaret Vanluvanee | Registered Dietitian Or Nutrition Professional | Contemporary Nutrition, Inc. | 925 E Main St, Suite 42, Havelock, NC 28532-2375 |
Carissa A Showers | Registered Dietitian Or Nutrition Professional | Contemporary Nutrition, Inc. | 925 E Main St, Suite 42, Havelock, NC 28532-2375 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeremy William Mckee | Chiropractic | 420 W Main St, Gas City, IN 46933-1075 | |
James B Wright | Optometry | 125 S 7th St, Gas City, IN 46933-2061 | |
Colt A Cansler | Physician Assistant | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
Martin Pruss | Family Medicine | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
Mark Allen Westfall | Family Medicine | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
Seshadri Jagannathan | Internal Medicine | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
Kellie R Planck | Nurse Practitioner | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
Gladys E Black | Nurse Practitioner | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
Nikolina Wiler | Physician Assistant | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
Michael A Gunter | General Surgery | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
Find all physicians in zip 46933 |
City | GAS CITY |
Zip Code | 46933 |
Specialty | GENERAL PRACTICE |
City + Specialty | GAS CITY + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Jon Kevin 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.