1. Home
  2. Directory
  3. Virginia
  4. Suffolk
  5. Surgery
  6. NPI Profile

DR. MICHAEL CLARENCE BLAKE M.D.
NPI 1063474955
Surgery in Suffolk, VA

Active since April 05, 2006
2790 GODWIN BLVD, STE 305, SUFFOLK, VA 23434(757) 934-4222(757) 934-4111 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Clarence Blake M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL CLARENCE BLAKE M.D. (NPI 1063474955) is an individual surgery provider in Suffolk, Virginia, licensed in Virginia (0101023774) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1063474955
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL CLARENCE BLAKECredential: M.D.
Location Address2790 GODWIN BLVD, STE 305Suffolk, VA 23434-8151
Mailing Address2790 Godwin Blvd, Ste 305Suffolk, VA 23434-8151 · (757) 934-4222 · Fax (757) 934-4111
Phone(757) 934-4222
Fax(757) 934-4111
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateNovember 13, 2012
✔ NPI 1063474955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in VA · 0101023774
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2790 GODWIN BLVD, Suffolk, VA 23434
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SENTARA MEDICAL GROUP
Psychiatry & Neurology (Neurology)
2790 GODWIN BLVD, SUITE 235
SUFFOLK, VA 23434
Suffolk City (757) 934-4580
SENTARA MEDICAL GROUP
Urology
2790 GODWIN BLVD, SUITE 320
SUFFOLK, VA 23434
Suffolk City (757) 686-1973
MARY KATHERINE WILLIAMS CNM
Advanced Practice Midwife
2790 GODWIN BLVD, SUITE 360
SUFFOLK, VA 23434
Suffolk City (757) 539-3911
THERESA G SMITH
Midwife
2790 GODWIN BLVD, SUITE 360
SUFFOLK, VA 23434
Suffolk City (757) 539-3911
RICHARD KAYE D.O.
Psychiatry & Neurology (Psychiatry)
2790 GODWIN BLVD, SUITE 300
SUFFOLK, VA 23434
Suffolk City (757) 925-1433
MRS. LISA POWELL PERRY RNC WHNP
Registered Nurse (Women's Health Care, Ambulatory)
2790 GODWIN BLVD, SUITE 375
SUFFOLK, VA 23434
Suffolk City (757) 923-4500
TYKISHA MICHELLE FOSTER CSAC
Counselor (Addiction (Substance Use Disorder))
2790 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (833) 510-4357
ASHLEY W RICE NP
Nurse Practitioner (Family)
2790 GODWIN BLVD, STE 100
SUFFOLK, VA 23434
Suffolk City (757) 983-8750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Blake's NPI number?

The NPI number for Michael Blake is 1063474955. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Michael Blake located?

Michael Blake practices at 2790 Godwin Blvd Ste 305, Suffolk, VA 23434. The listed phone number is (757) 934-4222.

What is Michael Blake's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Michael Blake was last updated on November 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.