Michael C. Blake in Knoxville - Pediatric Emergency Medicine

Michael C. Blake - NPI 1457394736

Michael C. Blake is a Pediatric Emergency Medicine in Knoxville, Tennessee. Michael C. Blake practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Michael C. Blake is 1457394736. The last update date is 2015-07-10.

Michael C. Blake's current location address is 2018 W Clinch Ave, Knoxville, Tennessee. You can contact this provider via phone number 8655418000. The mailing address for Michael C. Blake is 2018 W Clinch Ave, Knoxville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael C. Blake
Address 2018 W Clinch Ave, Knoxville, Tennessee
Phone Number 8655418000
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1457394736
Provider Enumeration Date 2006-06-14
Last Updated Date 2015-07-10

Provider Mailing Address Detail

Address 2018 W Clinch Ave
City Knoxville
State Tennessee (TN)
Post Code 379162301
Phone Number 8655418000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Emergency Medicine
Taxonomy 2080P0204X
Licence No MD29085
Definition:
A pediatrician who has special qualifications to manage emergencies in infants and children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3897731 TN --
64712771 KY --
3124793 TN BLUE CROSS

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FAQs about Michael C. Blake

What is the unique identifier code issued to Michael C. Blake by the Centers for Medicare & Medicaid Services?

The Michael C. Blake has been assigned the NPI (National Provider Identifier) 1457394736. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Michael C. Blake is geographically located?

The Michael C. Blake is physically situated at the following location: 2018 W Clinch Ave, Knoxville, TN, 379162301.

What is Michael C. Blake's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael C. Blake is Pediatric Emergency Medicine, and the taxonomy code that classifies this field of practice is 2080P0204X.

When was the Michael C. Blake's 1457394736 issued?

The Michael C. Blake's 1457394736 was issued on 2006-06-14.

As of what date were the Michael C. Blake's details last updated?

The information pertaining to the Michael C. Blake, including its address, specialty, and other details, was most recently updated on 2015-07-10.

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