Heidi C Blake, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

15691 Issued in NH

Practice address

5 Alumni Dr
Exeter, NH 03833-2128

Phone

(603) 580-6793

Fax

(603) 580-7006

NPI assigned

Jul 3, 2006

Last updated

Nov 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Concord Hospital-Franklin

  dba Concord Hospital-Franklin Swing Bed

  • Critical Access Hospital
  • Franklin, NH
  • NPI 1114005535
  NPD
• Concord Hospital-Franklin

  • Critical Access Hospital
  • Franklin, NH
  • NPI 1700960895
  NPD
• Concord Hospital-Laconia

  dba Concord Hospital-Laconia Professional Billing Service

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741
  NPD
• Lrghealthcare

  dba LRGH Professional Billing Services

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1700976032
  NPD
• Exeter Emergency Physicians PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Exeter, NH
  • NPI 1497845101
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1639109267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALUMNI DR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332128",
            "telephone_number": "603-580-6793",
            "fax_number": "603-580-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALUMNI DR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332128",
            "telephone_number": "603-580-6793",
            "fax_number": "603-580-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "HEIDI",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "ME",
            "license": "014658",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NH",
            "license": "15691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Bibeau, FNP-C
• Kristy Bieringer, LMT
• Pamela Binnie, NP
• Bio-Medical Applications of New Hampshire, Inc. (FMC Dialysis Services Exeter)
• Bernadette M Blake, MA, MSW, LICSW
• Ronald Blizzard
• Bloom Behavioral Health LLC
• James Arthur Bloomer, MD
• Kathleen C Bloomer, NP
• Jessica Bordonaro, LCMHC, MLADC

• Emergency Medical Services (Emergency Medicine) Physician in Exeter, NH
• Providers in Exeter, NH by specialty
• Emergency Medical Services (Emergency Medicine) Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.