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MARK F BLAKE MD, SC
NPI 1639739030
Plastic Surgery in Milwaukee, WI

Active since June 18, 2019
5201 N PORT WASHINGTON RD, MILWAUKEE, WI 53217(414) 963-0500(414) 755-0743 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark F Blake Md, Sc NPPES

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

MARK F BLAKE MD, SC (NPI 1639739030) is a healthcare organization registered as a plastic surgery in Milwaukee, Wisconsin and active in the NPI registry since June 2019. The organization lists Mark F Blake, President, as its authorized official.

NPPES Registry Identity

NPI1639739030
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameMARK F BLAKE MD, SC
Location Address5201 N PORT WASHINGTON RDMilwaukee, WI 53217-4902
Mailing Address5201 N Port Washington RdMilwaukee, WI 53217-4902 · (414) 963-0500
Phone(414) 963-0500
Fax(414) 755-0743
Organization SubpartNo
Authorized OfficialMark F BlakePresident · (414) 963-0500
Enumeration DateJune 18, 2019
✔ NPI 1639739030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5201 N PORT WASHINGTON RD, Milwaukee, WI 53217
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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 4

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

DR. ROGER C MIXTER M.D.
Plastic Surgery
5201 N PORT WASHINGTON RD
MILWAUKEE, WI 53217
Milwaukee County (414) 963-0500
MRS. SARAH CATHERINE SCHMIDT PA-C
Physician Assistant (Surgical)
5201 N PORT WASHINGTON RD
MILWAUKEE, WI 53217
Milwaukee County (414) 963-0500
MISS ALISON BRIANNA LEVENICK PA-C
Physician Assistant
5201 N PORT WASHINGTON RD
MILWAUKEE, WI 53217
Milwaukee County (414) 963-0500
CLINIC OF COSMETIC SURGERY SC
Plastic Surgery
5201 N PORT WASHINGTON RD
MILWAUKEE, WI 53217
Milwaukee County (414) 963-0500

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 Mark F Blake MD, Sc's NPI number?

The NPI number for Mark F Blake MD, Sc is 1639739030. It was assigned to this organization in the NPPES registry on June 18, 2019.

Where is Mark F Blake MD, Sc located?

Mark F Blake MD, Sc is located at 5201 N Port Washington Rd, Milwaukee, WI 53217. The listed phone number is (414) 963-0500.

What is Mark F Blake MD, Sc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Mark F Blake MD, Sc was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.