Blake & Sloan PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLAKE & SLOAN PC

Practice address

1450 Mercantile LN
Suite 111
Largo, MD 20774-5376

Phone

(301) 925-7610

Fax

(301) 925-7619

NPI assigned

Mar 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex A Torres

Title

Billing Manager

Phone

(703) 684-4581

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598885436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 MERCANTILE LN",
            "address_2": "SUITE 111",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745376",
            "telephone_number": "301-925-7610",
            "fax_number": "301-925-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MERCANTILE LN",
            "address_2": "SUITE 111",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745376",
            "telephone_number": "301-925-7610",
            "fax_number": "301-925-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE & SLOAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "703-684-4581"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "CIGNA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-FED - DR. SLOAN",
            "identifier": "0478-0003",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST - MD",
            "identifier": "KCT4BL",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-FED - DR BLAKE",
            "identifier": "04780002",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bezwen at Home, LLC.
• Elizabeth Biegelsen, MD
• Salim Bilal Edwards, MHS
• Ben Birkenfeld
• Elizabeth Biru, MD
• Doreen Blake, M.D.
• Latetia Tierra Bland
• Christie Lee Bogle, LGPC
• George Herbert Bone, MD
• Lauren Bonner, RDH

• Internal Medicine Physician in Largo, MD
• Providers in Largo, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.