Blake Dewayne Babcock (NPI# 1578873758, PAC ID# 4688904840) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1578873758 |
| PAC ID by PECOS | 4688904840 |
| Professional Enrollment ID | I20191001002903 |
| Full Name | Blake Dewayne Babcock |
| Organization Legal Name | PALM BEACH GENERAL SURGERY LLC |
| Address |
3641 S Miami Ave Suite 331 Miami FL 33133-4204 |
| Phone Number | 3052855092 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1456455021 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100167 | PLANTATION GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3641 S Miami Ave, Suite 331, Miami, FL 33133-4204 | 3052855092 | PALM BEACH GENERAL SURGERY LLC |
| Organization Legal Name | PALM BEACH GENERAL SURGERY LLC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane M Krutzler | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Vivian Rosa | Nurse Practitioner | Palm Beach General Surgery LLC | 160 John F Kennedy Dr, Suite 102, Atlantis, FL 33462-6604 |
| Heidi Bahna | Colorectal Surgery (proctology) | Palm Beach General Surgery LLC | 5511 S Congress Ave, Suite 105, Atlantis, FL 33462-1140 |
| Michelle R Barletta | Physician Assistant | Palm Beach General Surgery LLC | 4631 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3234 |
| Melinda M Blom | Physician Assistant | Palm Beach General Surgery LLC | 12953 Palms W Dr, 201 Digestive Disease Center of The Pal, Loxahatchee, FL 33470-4992 |
| James J Goad | General Surgery | Palm Beach General Surgery LLC | 12955 Palms W Dr, Suite 201, Loxahatchee, FL 33470-9217 |
| Carlos Alejo | General Surgery | Palm Beach General Surgery LLC | 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900 |
| Julian K Berrocal | General Surgery | Palm Beach General Surgery LLC | 4631 N Congress Ave, Suite 202, West Palm Beach, FL 33407-3234 |
| Adam D Kurtin | General Surgery | Palm Beach General Surgery LLC | 1400 Se Goldtree Dr, Suite 102 104, Port St. Lucie, FL 34952-7582 |
| Aimee Elizabeth Farmer | Physician Assistant | Palm Beach General Surgery LLC | 1800 Se Tiffany Ave, St Lucie Medical Center, Port Saint Lucie, FL 34952-7521 |
| Street Address |
3641 S MIAMI AVE SUITE 331 |
| City | MIAMI |
| State | FL |
| Zip | 33133-4204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ana G Martinez Fuentes | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of South Florida, LLC | 3641 S Miami Ave, Fl 4, Miami, FL 33133-4204 |
| Elisa N Mastromarino | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of South Florida, LLC | 3641 S Miami Ave, Fl 4, Miami, FL 33133-4204 |
| Rolando Boada | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of South Florida, LLC | 3641 S Miami Ave, Fl 4, Miami, FL 33133-4204 |
| Raquel Diaz | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of South Florida, LLC | 3641 S Miami Ave, Fl 4, Miami, FL 33133-4204 |
| Alexandra C Cortes | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of South Florida, LLC | 3641 S Miami Ave, Fl 4, Miami, FL 33133-4204 |
| Caleb M Stalls | Anesthesiology | Anesthesia Physician Solutions of South Florida, LLC | 3641 S Miami Ave, Fl 4, Miami, FL 33133-4204 |
| Eleidy Miedes | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of South Florida, LLC | 3641 S Miami Ave, Fl 4, Miami, FL 33133-4204 |
| Julieta Alvarez | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of South Florida, LLC | 3641 S Miami Ave, Fl 4, Miami, FL 33133-4204 |
| Alberto Interian Jr. | Cardiac Electrophysiology | Lawnwood Cardiovascular Surgery LLC | 3641 S Miami Ave, Suite 221, Miami, FL 33133-4219 |
| Amit Khithani | General Surgery | Palm Beach General Surgery LLC | 3641 S Miami Ave, Suite 331, Miami, FL 33133-4204 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dugald S Macintyre | Infectious Disease | 3361 S Miami Ave, Suite 604, Miami, FL 33133 | |
| Alejandro G Gonzalez | Physical Therapy | 2631 Sw 27th St, Miami, FL 33133-2239 | |
| Maria I Tapia | Clinical Social Worker | 2200 S Dixie Hgwy, Us1 Suite 702, Miami, FL 33133-2300 | |
| Yale M Samole | Cardiovascular Disease (cardiology) | Cardiovascular Medicine Associates Pa | 2250 S Dixie Hwy, Miami, FL 33133-2360 |
| Peter V Popejoy | Psychologist, Clinical | 2000s Dixie Hwy 206, Miami, FL 33133-2455 | |
| Shana K Cox | Clinical Social Worker | Healthy Connections Cmhc Inc | 2780 Sw 37th Ave, Coconut Grove, FL 33133-2740 |
| Diego Espaillat Prestol | Anesthesiology | Sheridan Healthcorp Inc | 2645 S Douglas Rd, Suite 400, Miami, FL 33133-2744 |
| Harris H Mones | Family Medicine | 2645 Sw 37 Ave, Suite 502, Miami, FL 33133-2744 | |
| Eric Zephirin | Podiatry | 2645 Sw 37th Ave, Suite 704, Miami, FL 33133-2745 | |
| Miguel A Nunez Jr. | General Practice | 2645 Sw37th Ave, Suite 603, Miami, FL 33133-2745 | |
| Find all physicians in zip 33133 | |||
| City | MIAMI |
| Zip Code | 33133 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MIAMI + GENERAL SURGERY |
Please comment or provide details below to improve the information on Blake Dewayne Babcock.
| 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.