JON KEVIN BLAKE MD
NPI 1215559331
General Practice in Gas City, IN

Q: What is Jon Kevin Blake MD's NPI number?

The NPI number for Jon Kevin Blake MD is 1215559331. It was assigned to this organization in the NPPES registry on May 12, 2020. The provider is doing business as Jon K. Blake MD.

Q: What is Jon Kevin Blake MD's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since May 12, 2020

925 E MAIN ST, GAS CITY, IN 46933(765) 674-7889 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jon Kevin Blake Md NPPES

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

JON KEVIN BLAKE MD (NPI 1215559331), doing business as Jon K. Blake Md, is a healthcare organization registered as a general practice in Gas City, Indiana and active in the NPI registry since May 2020. The organization lists Jon Blake, Authorized Official/physician, as its authorized official.

NPPES Registry Identity

NPI1215559331

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameJON KEVIN BLAKE MD

Location Address925 E MAIN STGas City, IN 46933-1550

Mailing AddressPo Box 1889Muncie, IN 47308-1889 · (765) 284-0493

Phone(765) 674-7889

Organization SubpartNo

Authorized OfficialJon BlakeAuthorized Official/physician · (765) 674-7889

Enumeration DateMay 12, 2020

NPPES CertifiedMay 12, 2020

✔ NPI 1215559331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

925 E MAIN ST, Gas City, IN 46933

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Other Names 1

Doing Business AsJon K. Blake Md

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 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 Jon Kevin Blake MD's NPI number?

The NPI number for Jon Kevin Blake MD is 1215559331. It was assigned to this organization in the NPPES registry on May 12, 2020. The provider is doing business as Jon K. Blake MD.

Where is Jon Kevin Blake MD located?

Jon Kevin Blake MD is located at 925 E Main St, Gas City, IN 46933. The listed phone number is (765) 674-7889.

What is Jon Kevin Blake MD's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jon Kevin Blake MD was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.