John Paul Blake I, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

11795 Issued in NC

Practice address

211 S Centennial St
High Point, NC 27260-5215

Phone

(336) 845-7946

Fax

(336) 845-7601

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. John Paul Blake I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1184785149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S CENTENNIAL ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605215",
            "telephone_number": "336-845-7946",
            "fax_number": "336-845-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CENTENNIAL ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605215",
            "telephone_number": "336-845-7946",
            "fax_number": "336-845-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "11795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8916172",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "BLAKE",
            "middle_name": "PAUL",
            "prefix": "DR.",
            "suffix": "I",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amonie Blackwell
• Quarneka Blackwell, PTA
• Taylor Blackwell
• Reandra Blade, LCSW
• Patricia Melvin Blair, SLP,CCC
• Julianna Blatz, ATC
• Justin Blaylock, P.A.
• Allyson Elizabeth Blazejewski, PA-C
• F Douglas Blazek, MD
• Aaron James Blevins, MD

• Psychiatry Physician in High Point, NC
• Providers in High Point, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.