Jeffrey M. Blake MD, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JEFFREY M. BLAKE MD, INC.

Practice address

141 W. 22ND St.
Suite 309
Anderson, IN 46016-4389

Phone

(765) 646-8569

Fax

(765) 622-9708

NPI assigned

Mar 27, 2007

Last updated

Apr 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M. Blake, M.D.

Title

Owner

Phone

(765) 646-8569

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1730207440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W. 22ND ST.",
            "address_2": "SUITE 309",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164389",
            "telephone_number": "765-646-8569",
            "fax_number": "765-622-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W. 22ND ST.",
            "address_2": "SUITE 309",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164389",
            "telephone_number": "765-646-8569",
            "fax_number": "765-622-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M. BLAKE MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-646-8569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Jarrell, DEVELOPMENTAL THERAP
• Jason C. Sims DDS, P.C.
• Fahad Javed, DDS
• Paul Jefferis, RPH
• Rhozonda Jefferson Sonnette Jefferson
• Mark Randall Jennings, MD
• Eunmi Wang Jeong, OTA
• Joseph G. Jerman, MD
• Jerry D Warthman, O.D., LLC
• Jetty Heart Clinic

• Specialist in Anderson, IN
• Providers in Anderson, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.