Active NPI
Ronald Blake, RRT
- Certified Respiratory Therapist
- Greenville, NC
National Provider Identifier
1508950882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- A2000
- Practice address
- 702 Cromwell Drive
Suite a
Greenville, NC 27858 - Phone
- (252) 830-2094
- Fax
- (252) 355-7358
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | A2000 | NC | Primary |
Addresses
Primary practice location
702 Cromwell Drive
Suite a
Greenville, NC 27858
Mailing address
702 Cromwell Drive
Suite a
Greenville, NC 27858
Phone (252) 830-2094
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012AG | Other | NC | BCBS |
| 7492673 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2000 | NC | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America Rehabilitation Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Greenville, NC
- NPI 1083661623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508950882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 CROMWELL DRIVE",
"address_2": "SUITE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-830-2094",
"fax_number": "252-355-7358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 CROMWELL DRIVE",
"address_2": "SUITE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-830-2094",
"fax_number": "252-355-7358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "RONALD",
"name_prefix": "Mr.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "NC",
"license": "A2000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "012AG",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7492673",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.