Organization Active NPI

Richard E Blake MD PA

  • Reproductive Endocrinology Physician
  • Silver Spring, MD
National Provider Identifier
1821380387
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
D30235 Issued in MD
Legal business name
RICHARD E BLAKE MD PA
Practice address
1111 Spring St
Suite 300
Silver Spring, MD 20910-4003
Phone
(301) 608-9480
Fax
(301) 608-9088
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Richard Enrique Blake, M.D.
Title
President
Phone
(301) 983-9366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X D30235 MD Primary

Addresses

Primary practice location

1111 Spring St
Suite 300
Silver Spring, MD 20910-4003

Mailing address

8214 Tuckerman LN
Potomac, MD 20854-3744
Phone (301) 983-9366

National Provider Directory

National Provider Directory

Locations

1111 Spring St
Ste 300
Silver Spring, MD 20910
Phone (301) 608-9480

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1821380387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 TUCKERMAN LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543744",
            "telephone_number": "301-983-9366",
            "fax_number": "301-983-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SPRING ST",
            "address_2": "SUITE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104003",
            "telephone_number": "301-608-9480",
            "fax_number": "301-608-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E BLAKE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-983-9366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MD",
            "license": "D30235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.