Colin Blake, MD
Individual provider Active NPI Anesthesiology Physician · Ayer, MA
NPI 1770565657 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1770565657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 225542 (MA)
- Practice address
- 200 Groton Rd
Ayer, MA 01432-1168 - Phone
- (617) 562-5476
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Anesthesiology | Current |
Accepting new patients |
| David C. Flemming MD PLLC | Anesthesiology | Past | Accepting new patients |
| Heywood Medical Group Inc. | Anesthesiology | Past | Accepting new patients |
Locations
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
9 Galen St
Ste 130
Watertown, MA 02472
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 225542 | MA | Yes |
Addresses
Primary practice location
200 Groton Rd
Ayer, MA 01432-1168
Mailing address
9 Galen St Ste 130
Watertown, MA 02472-4521
Phone (617) 562-5476
Other practice location 1
242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420
Other providers in Ayer, MA
- Steven Charles Balser
- Behavioral Milestones
- Marie G Bennett
- Elisha S Bernstein
- Desdalin Cornelia Black
- Jessica Winnie Blood
- Cheryl a. Boissy
- Therese Pelagie Bonok
- Abigail Bowen
- Kevin Michael Brown
All providers in Ayer, MA · Anesthesiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.