Individual provider Active NPI

Ashley Raye Blake, DO

  • Obstetrics & Gynecology Physician
  • Cynthiana, KY
National Provider Identifier
1669931473
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
05538 Issued in 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
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 05538 KY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712003155 KY Practitioner - Obstetrics/Gynecology 7618393950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 HospitalGroup PAC ID 8628961018, 21 clinicians
Harrison Memorial HospitalGroup PAC ID 4284784067, 60 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05538KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Memorial Hospital CurrentSince Aug 1, 2023 Accepting new patients
Harrison Memorial Hospital CurrentSince Aug 1, 2023 Accepting new patients
Harrison Memorial Hospital Inc Obstetrics & Gynecology CurrentSince Aug 1, 2023 Accepting new patients
Harrison Memorial Hospital Past Accepting new patients

Locations

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

1210 KY Highway 36 E
Ste G3
Cynthiana, KY 41031
Phone (859) 234-2300

1210 KY Highway 36 E
Ste G4
Cynthiana, KY 41031
Phone (859) 234-9955

439 E Pleasant St
Cynthiana, KY 41031
Phone (859) 234-4494

1102 W Shelby St
Falmouth, KY 41040
Phone (859) 654-3232

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1669931473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E STE G3",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317492",
            "telephone_number": "859-234-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E STE G4",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317491",
            "telephone_number": "859-289-6311",
            "fax_number": "859-289-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Park St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011760",
            "country_code": "US",
            "telephone_number": "270-780-2693",
            "fax_number": "270-780-2691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ASHLEY",
        "middle_name": "RAYE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "05538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

Verify at the official NPI Registry.