Ashley Raye Blake, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Cynthiana, KY
NPI 1669931473 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1669931473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 05538 (KY)
- Practice address
- 1210 Ky Highway 36 E Ste G4
Cynthiana, KY 41031-7491 - Phone
- (859) 289-6311
- Fax
- (859) 289-3366
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- West Virginia School of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Harrison Memorial Hospital
Harrison Memorial Hospital
Practice addresses (Care Compare)
1210 Kentucky Hwy 36E
Cynthiana, KY 41031-7490
1210 Ky Hwy 36 E
Cynthiana, KY 41031-7490
Phone (859) 234-2300
1210 Ky Hwy 36 E
Suite G4
Cynthiana, KY 41031-7491
Phone (859) 234-9955
Hospital & facility affiliations
- Harrison Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230712003155 | KY | Practitioner - Obstetrics/Gynecology | 7618393950 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05538 | KY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison Memorial Hospital | Current |
Accepting new patients | |
| Harrison Memorial Hospital | Current |
Accepting new patients | |
| Harrison Memorial Hospital Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Harrison Memorial Hospital | Past | Accepting new patients |
Locations
1210 KY Highway 36 E
Ste G4
Cynthiana, KY 41031
Phone (859) 234-9955
1210 KY Highway 36 E
Ste G3
Cynthiana, KY 41031
Phone (859) 234-9222
1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300
439 E Pleasant St
Cynthiana, KY 41031
Phone (859) 234-4494
1102 W Shelby St
Falmouth, KY 41040
Phone (859) 654-3232
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 05538 | KY | Yes |
Addresses
Primary practice location
1210 Ky Highway 36 E Ste G4
Cynthiana, KY 41031-7491
Mailing address
1210 Ky Highway 36 E Ste G3
Cynthiana, KY 41031-7492
Phone (859) 234-2300
Other practice location 1
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 780-2693
Other providers in Cynthiana, KY
- Kristen Becker
- Daniel D. Beineke
- Mary Catherine Bell
- Stephen A Besson
- Bio-Medical Applications of Kentucky, Inc.
- Matthew Daniel Blake
- Jimmy Douglas Blankenship
- Bluegrass Hearing Clinic LLC
- Bluegrass Hearing Clinic, LLC
- Nona Borrego
All providers in Cynthiana, KY · Obstetrics & Gynecology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.