KENDALL T BLAKE MD
NPI 1427072966
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Jackson, MS

Q: What is Kendall Blake's NPI number?

The NPI number for Kendall Blake is 1427072966. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Kendall Blake's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Kendall Blake was last updated on March 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 27, 2006PECOS Enrolled

2500 N STATE ST, DEPT OF ORTHOPEDICS, JACKSON, MS 39216(601) 984-6525 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kendall T Blake Md NPPES

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

KENDALL T BLAKE MD (NPI 1427072966) is an individual orthopaedic surgery of the spine provider in Jackson, Mississippi, licensed in Mississippi (06797) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427072966

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameKENDALL T BLAKECredential: MD

Location Address2500 N STATE ST, DEPT OF ORTHOPEDICSJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-6426 · Fax (601) 984-6439

Phone(601) 984-6525

Sole ProprietorNo

Enumeration DateJuly 27, 2006

Last NPPES UpdateMarch 7, 2014

✔ NPI 1427072966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in MS · 06797

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 3

Medicare PIN332844YJ5DMS

Medicaid00116141MS

Medicare ID-Type Unspecified200000389MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendall T Blake Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

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