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BLAKE D. ALEXANDER, MD, PA
NPI 1366626483
Dermatology in Pocatello, ID

Active since December 26, 2007
500 S 11TH AVE, SUITE 203, POCATELLO, ID 83201(208) 236-1600(208) 236-6695 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake D. Alexander, Md, Pa NPPES

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

BLAKE D. ALEXANDER, MD, PA (NPI 1366626483) is a healthcare organization registered as a dermatology in Pocatello, Idaho and active in the NPI registry since December 2007. The organization lists Blake D. Alexander, President, as its authorized official.

NPPES Registry Identity

NPI1366626483
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLAKE D. ALEXANDER, MD, PA
Location Address500 S 11TH AVE, SUITE 203Pocatello, ID 83201-4835
Mailing AddressPo Box 4908Pocatello, ID 83205-4908 · (208) 236-1600
Phone(208) 236-1600
Fax(208) 236-6695
Organization SubpartNo
Authorized OfficialBlake D. AlexanderPresident · (208) 236-1600
Enumeration DateDecember 26, 2007
✔ NPI 1366626483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in ID · M8227
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
500 S 11TH AVE, Pocatello, ID 83201
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Other Identifiers 1

Medicare PIN1368941ID

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

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.

POCATELLO CHILDREN'S CLINIC
Durable Medical Equipment & Medical Supplies
500 S 11TH AVE, STE 204
POCATELLO, ID 83201
Bannock County (208) 232-1443
JOHN LACKEY MD
Specialist
500 S 11TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-3103
JUNIPER SPRINGS INTERNAL MEDICINE
Internal Medicine
500 S 11TH AVE, SUITE 203
POCATELLO, ID 83201
Bannock County (208) 236-1600
JOHN L. CHRISTENSEN PHD
Psychologist (Clinical)
500 S 11TH AVE, SUITE 302
POCATELLO, ID 83201
Bannock County (208) 233-0150
JAMES MATTHEW CAMPBELL PA-C
Physician Assistant (Medical)
500 S 11TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6214
BARBARA ROBERTS NP
Nurse Practitioner (Women's Health)
500 S 11TH AVE, SUITE 4G
POCATELLO, ID 83201
Bannock County (208) 233-2161
LINDA L. BABBITT M.D.
Internal Medicine
500 S 11TH AVE, SUITE 203
POCATELLO, ID 83201
Bannock County (208) 232-5902
MRS. JENNA NICOLE THOMPSON LCSW
Social Worker (Clinical)
500 S 11TH AVE, SUITE 303
POCATELLO, ID 83201
Bannock County (208) 239-3815

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 D. Alexander, MD, PA's NPI number?

The NPI number for Blake D. Alexander, MD, PA is 1366626483. It was assigned to this organization in the NPPES registry on December 26, 2007.

Where is Blake D. Alexander, MD, PA located?

Blake D. Alexander, MD, PA is located at 500 S 11th Ave Suite 203, Pocatello, ID 83201. The listed phone number is (208) 236-1600.

What is Blake D. Alexander, MD, PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Blake D. Alexander, MD, PA was last updated on December 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.