Organization Active NPI

David M. Blake MD PSC

  • Neurology Physician
  • Lexington, KY
National Provider Identifier
1649475492
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
24357 Issued in KY
Legal business name
DAVID M. BLAKE MD PSC
Practice address
1451 Harrodsburg Rd Ste D302
Lexington, KY 40504-3772
Phone
(859) 260-1273
Fax
(859) 260-7719
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Dr. David M. Blake, M.D.
Title
President Neurologist
Phone
(859) 260-1273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 24357 KY Primary

Addresses

Primary practice location

1451 Harrodsburg Rd Ste D302
Lexington, KY 40504-3772

Mailing address

1451 Harrodsburg Rd Ste D302
Lexington, KY 40504-3772
Phone (859) 260-1273

Other identifiers 1

IdentifierTypeStateIssuer
1649475492OtherKYGROUP NPI

National Provider Directory

National Provider Directory

Locations

1451 Harrodsburg Rd
Ste D302
Lexington, KY 40504
Phone (859) 260-1273

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1649475492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 HARRODSBURG RD STE D302",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043772",
            "telephone_number": "859-260-1273",
            "fax_number": "859-260-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 HARRODSBURG RD STE D302",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043772",
            "telephone_number": "859-260-1273",
            "fax_number": "859-260-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. BLAKE MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT     NEUROLOGIST",
        "authorized_official_telephone_number": "859-260-1273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "24357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1649475492",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.