Daniel Blake (NPI# 1992749089, PAC ID# 9234361841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1992749089 |
| PAC ID by PECOS | 9234361841 |
| Professional Enrollment ID | I20140414001916 |
| Full Name | Daniel Blake |
| Organization Legal Name | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES |
| Address |
5450 Ford St Trenton MI 48183-4601 |
| Phone Number | 7346753800 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 3072875889 |
| Number of Group Practice Members | 578 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230176 | BEAUMONT HOSPITAL - TRENTON |
| Address | Phone | Organization |
|---|---|---|
| 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES | |
| 5450 Ford St, Trenton, MI 48183-4601 | 7346753800 | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES |
| Organization Legal Name | BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES |
| Physicians | 525 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salman Khan | Family Medicine | Beaumont Medical Group Hospital Based Services | 33155 Annapolis St, Wayne, MI 48184-2405 |
| Amit Bahl | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Jessica Beacome | Nurse Practitioner | Beaumont Medical Group Hospital Based Services | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 |
| Joel T Fishbain | Infectious Disease | Beaumont Medical Group Hospital Based Services | 25631 Little Mack Ave, Suite 205, Saint Clair Shores, MI 48081-2108 |
| Stephanie A Davenport | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Maria Thomas | Pathology | Beaumont Medical Group Hospital Based Services | 10000 Telegraph Rd, Taylor, MI 48180-3330 |
| Edward J Jelonek | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Aparna Hariharan | Pathology | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Terrence Metz | Diagnostic Radiology | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Nicole Y Marijanovich | Internal Medicine | Beaumont Medical Group Hospital Based Services | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Street Address |
5450 FORD ST |
| City | TRENTON |
| State | MI |
| Zip | 48183-4601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Apsey | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 5450 Ford St, Trenton, MI 48183-4601 |
| Brian Henk | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 5450 Ford St, Trenton, MI 48183-4601 |
| Brandon Claxton | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 5450 Ford St, Trenton, MI 48183-4601 |
| Douglas J Kelley | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 5450 Ford St, Trenton, MI 48183-4601 |
| Samir A Dabbous | Cardiovascular Disease (cardiology) | Oakwood Healthcare Inc | 5450 Ford St, Trenton, MI 48183-4601 |
| Kyle A Nedic | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 5450 Ford St, Trenton, MI 48183-4601 |
| Devon Danny Warren | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 5450 Ford St, Trenton, MI 48183-4601 |
| Matthew Wilusz | Emergency Medicine | Emergency Professionals of Michigan, P.C. | 5450 Ford St, Trenton, MI 48183-4601 |
| Beatrice H Muglia | Pathology | Beaumont Medical Group Hospital Based Services | 5450 Ford St, Trenton, MI 48183-4601 |
| Karen Samples | Internal Medicine | 5450 Ford St, Trenton, MI 48183-4601 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamal Gupta | Ophthalmology | Kamal Gupta, M.d. P.C. | 19335 Allen Rd, Brownstown Twp, MI 48183-1003 |
| Prashant D Kapadia | Optometry | Kamal Gupta, M.d. P.C. | 19335 Allen Rd, Brownstown Twp, MI 48183-1003 |
| Saif H Hafeez | Ophthalmology | Kamal Gupta, M.d. P.C. | 19335 Allen Rd, Brownstown Twp, MI 48183-1003 |
| Melissa A Arnoczki | Chiropractic | Odette Chiropractic Family Health Center Plc | 20960 Allen Rd, Brownstown Twp, MI 48183-1018 |
| Patricia A Odette | Chiropractic | Odette Chiropractic Family Health Center Plc | 20960 Allen Rd, Brownstown Twp, MI 48183-1018 |
| Darren S Kalkan | Chiropractic | Odette Chiropractic Family Health Center Plc | 20960 Allen Rd, Brownstown Twp, MI 48183-1018 |
| Jeffrey Garrett Cramblett | Podiatry | Vicki Anton Anthens Dpm PC | 19723 Allen Rd, Brownstown Twp, MI 48183-1021 |
| Joseph C Won | Medical Oncology | Henry Ford Health System | 19675 Allen Rd, Brownstown Twp, MI 48183-1021 |
| Debbie D Woody Vitale | Podiatry | Vicki Anton Anthens Dpm PC | 19723 Allen Rd, Brownstown Twp, MI 48183-1021 |
| Vicki Maria Anton Athens | Podiatry | Vicki Anton Anthens Dpm PC | 19723 Allen Rd, Brownstown Twp, MI 48183-1021 |
| Find all physicians in zip 48183 | |||
| City | TRENTON |
| Zip Code | 48183 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | TRENTON + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Daniel 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.