George E. Blake, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35130836 Issued in OH

Practice address

4760 E Galbraith Rd Ste 205
Cincinnati, OH 45236

Phone

(513) 985-0741

Fax

(513) 985-0748

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Cardiovascular Disease (Cardiology)

Education

Baylor College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008
• The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
• Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gblake@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Somc Medical Care Foundation, Inc.

  • Family Medicine Physician
  • Portsmouth, OH
  • NPI 1457467227
  Medicare reassignment Care Compare group
• Mercy Health Physicians Cincinnati Specialty Care LLC

  • Surgery Physician
  • Blue Ash, OH
  • NPI 1154942795

  Cardiovascular Disease, IN

  Medicare reassignment NPD
• Mercy Health Physicians Cincinnati LLC

  • Durable Medical Equipment & Medical Supplies
  • Liberty Township, OH
  • NPI 1790281517
  NPD
• Mercy Health Physicians Cincinnati Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Liberty TWP, OH
  • NPI 1730993270
  NPD
• Mercy Health Physicians Cincinnati, LLC

  • Family Medicine Physician
  • Blue Ash, OH
  • NPI 1205887023

  Cardiovascular Disease

  NPD
• Christ Hospital Cardiology Assoc

  • Cardiovascular Disease Physician
  • Jersey City, NJ
  • NPI 1285771345
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• St. Francis Medical Group, LLC

  • Internal Medicine Physician
  • Greenwood, IN
  • NPI 1467693135
  NPD (past)
• Stat Care of Texas, PA

  • Emergency Medicine Physician
  • Richmond, TX
  • NPI 1730251117
  NPD (past)
• Total Inpatient Services, PA

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1902935828
  NPD (past)
• University Medical Diagnostic Associates, Inc.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1861441537

  Cardiovascular Disease

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jewish Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1336478163
  Care Compare affiliation
• Mercy Health - West Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1912007931
  Care Compare affiliation
• Mercy Health - West Hospital LLC

  • Clinical Medical Laboratory
  • Cincinnati, OH
  • NPI 1982728036

  Hospital

  Care Compare affiliation
• Southern Ohio Medical Center

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1053342816
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1174671820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD STE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366704",
            "telephone_number": "513-985-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD STE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45236",
            "telephone_number": "513-985-0741",
            "fax_number": "513-985-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "GEORGE",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "OH",
            "license": "35130836",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01068537A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35130836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200992360",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "HQ800Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara M Blair, LMT
• Kenneth Blaize, EDS
• Blake & Associates Inc
• Caroline Mitchell Ulmer Blake, MD
• Emily Ann Blake
• Katelynn Blake
• Kristina Antoinette Blake
• Maria Clark Blake, PHD
• Michael Blake, PA-S
• Cierra Blakeman

• Cardiovascular Disease Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.