Roger Alan Blake is a Specialist in Cleveland, Mississippi. Roger Alan Blake practices all healthcare services and medical treatments related to Specialist. The NPI Number for Roger Alan Blake is 1023049335. The last update date is 2010-11-12.
Roger Alan Blake's current location address is 907 E Sunflower Rd, Cleveland, Mississippi. You can contact this provider via phone number 6628468880 and fax number 6628468886. The mailing address for Roger Alan Blake is 907 E Sunflower Rd, Cleveland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Alan Blake |
|---|---|
| Address | 907 E Sunflower Rd, Cleveland, Mississippi |
| Phone Number | 6628468880 |
| Fax Number | 6628468886 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023049335 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2010-11-12 |
Provider Mailing Address Detail
| Address | 907 E Sunflower Rd |
|---|---|
| City | Cleveland |
| State | Mississippi (MS) |
| Post Code | 387322830 |
| Phone Number | 6628468880 |
| Fax Number | 6628468886 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 16881 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122620 | MS | -- | |
| 7887026 | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Roger Alan Blake by the Centers for Medicare & Medicaid Services?
The Roger Alan Blake has been assigned the NPI (National Provider Identifier) 1023049335 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Roger Alan Blake located?
The Roger Alan Blake is located at 907 E Sunflower Rd, Cleveland, MS 387322830.
What is the area of specialization for Roger Alan Blake, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Roger Alan Blake is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023049335 to Roger Alan Blake?
The Roger Alan Blake received its 1023049335 assignment from the Centers for Medicare & Medicaid Services on 2006-07-05.
When was the information regarding Roger Alan Blake, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Roger Alan Blake, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-11-12.