Individual provider Active NPI

James Steven Blake, DO

  • Gastroenterology Physician
  • Pine Bluff, AR
National Provider Identifier
1720176381
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E-19961 Issued in AR
Practice address
1801 W 40TH Ave Ste 7B
Pine Bluff, AR 71603-6964
Phone
(870) 541-7201
Fax
(870) 541-7202
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Hospital Association, Inc 80 clinicians

Practice addresses (Care Compare)

1801 W 40TH Ave
Suite 7B
Pine Bluff, AR 71603-6964
Phone (870) 541-7201

Hospital & facility affiliations

  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120120000284 PA Practitioner - Gastroenterology 1254350473 Reassigns benefits to 1 organization
I20251121003741 AR Practitioner - Gastroenterology 1254350473 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-19961ARMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Airy Anesthesiology Associates, LLC CurrentSince May 14, 2007 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Dec 5, 2025 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Dec 5, 2025 Accepting new patients
Jefferson Hospital Association, Inc Gastroenterology Current Accepting new patients
Mt Airy Ambulatory Endoscopy Surgery Center CurrentSince Nov 17, 2005 Accepting new patients
Liberty Anesthesia Associates, P. C. Past Accepting new patients

Locations

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

1801 W 40th Ave
Ste 7B
Pine Bluff, AR 71603
Phone (870) 535-2716

6827 Germantown Ave
Philadelphia, PA 19119
Phone (215) 849-4902

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X E-19961 AR Primary
Internal Medicine Physician 207R00000X OS007404E PA

Addresses

NPPES NPI Registry

Primary practice location

1801 W 40TH Ave Ste 7B
Pine Bluff, AR 71603-6964

Mailing address

1801 W 40TH Ave Ste 7B
Pine Bluff, AR 71603-6964
Phone (870) 541-7201

Other identifiers 10

NPPES NPI Registry
IdentifierTypeStateIssuer
2309047000OtherPAPERSONAL CHOICE
1037069OtherPAKMHP
163083OtherPABLUE CROSS BLUE SHIELD
2309047000OtherPAKHPE
01461503OtherPAAMERICHOICE
1468415MedicaidPA
16956OtherPAHEALTH PARTNERS
1777074OtherPAUNITED
2126753OtherPAAETNA
2363719001OtherPACIGNA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2026.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1720176381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE STE 7B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036964",
            "telephone_number": "870-541-7201",
            "fax_number": "870-541-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE STE 7B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036964",
            "telephone_number": "870-541-7201",
            "fax_number": "870-541-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JAMES",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E-19961",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS007404E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2309047000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMHP",
            "identifier": "1037069",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "163083",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE",
            "identifier": "2309047000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01461503",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468415",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "16956",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1777074",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2126753",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2363719001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.