BLAKE SURGICAL ASSOCIATION PLLC
NPI 1154521466
Surgery - Surgical Critical Care in Cleveland, MS

Active since July 24, 2007
907 E SUNFLOWER RD #101, CLEVELAND, MS 38732(662) 846-8880 Get Directions Write a Review

NPPES record last updated: August 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blake Surgical Association Pllc NPPES

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

BLAKE SURGICAL ASSOCIATION PLLC (NPI 1154521466) is a healthcare organization registered as a surgical critical care in Cleveland, Mississippi and active in the NPI registry since July 2007. The organization lists Roger Blake, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1154521466
Entity TypeOrganization
Primary Taxonomy2086S0102X
Legal Business NameBLAKE SURGICAL ASSOCIATION PLLC
Location Address907 E SUNFLOWER RD #101Cleveland, MS 38732-2833
Mailing Address907 E Sunflower Rd, 101Cleveland, MS 38732-2830 · (662) 846-8880 · Fax (662) 846-8886
Organization SubpartNo
Authorized OfficialRoger BlakeOwner/physician · (662) 846-8880
Enumeration DateJuly 24, 2007
Last NPPES UpdateAugust 30, 2020
NPPES CertifiedAugust 30, 2020
NPI 1154521466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in MS · 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 specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License 16881 (MS)

Other Identifiers 3

OtherC03406MS · Medicare Group #
Medicaid00122620MS
Other020000545MS · Medicare Provider #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Blake Surgical Association PLLC's NPI number?

The NPI number for Blake Surgical Association PLLC is 1154521466. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Blake Surgical Association PLLC located?

Blake Surgical Association PLLC is located at 907 E Sunflower Rd #101, Cleveland, MS 38732. The listed phone number is (662) 846-8880.

What is Blake Surgical Association PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

When was this NPI record last updated?

The NPPES record for Blake Surgical Association PLLC was last updated on August 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.