Blake Surgical Association Pllc in Cleveland - Surgical Critical Care
Blake Surgical Association Pllc - NPI 1154521466
Blake Surgical Association Pllc is a Surgical Critical Care in Cleveland, Mississippi. Blake Surgical Association Pllc practices all healthcare services and medical treatments related to Surgical Critical Care. The NPI Number for Blake Surgical Association Pllc is 1154521466. The last update date is 2020-08-30.
Blake Surgical Association Pllc'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 Blake Surgical Association Pllc is 907 E Sunflower Rd, Cleveland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blake Surgical Association Pllc |
|---|---|
| Address | 907 E Sunflower Rd, Cleveland, Mississippi |
| Phone Number | 6628468880 |
| Fax Number | 6628468886 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Blake Roger |
| Credentials | M.D. |
| Telephone Number | 6628468880 |
NPI Number Detail
| NPI Number | 1154521466 |
|---|---|
| Provider Enumeration Date | 2007-07-24 |
| Last Updated Date | 2020-08-30 |
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 | Surgical Critical Care |
|---|---|
| Taxonomy | 2086S0102X |
| Licence No | 16881 |
|
Definition: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20000545 | MS | MEDICARE PROVIDER # | |
| C03406 | MS | MEDICARE GROUP # | |
| 122620 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Blake Surgical Association Pllc?
The Blake Surgical Association Pllc has been issued the NPI (National Provider Identifier) 1154521466 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Blake Surgical Association Pllc located?
The Blake Surgical Association Pllc is located at 907 E Sunflower Rd, Cleveland, MS 387322830.
What is Blake Surgical Association Pllc's area of expertise and its corresponding taxonomy classification?
The Blake Surgical Association Pllc's field of specialization is Surgical Critical Care, and it falls under the taxonomy code 2086S0102X, which categorizes healthcare providers based on their areas of practice.
When did Blake Surgical Association Pllc receive its 1154521466 assignment?
The Blake Surgical Association Pllc was assigned its 1154521466 on 2007-07-24, which is the date when this unique identifier was issued to the organization.
When was the information regarding Blake Surgical Association Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Blake Surgical Association Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-30.
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