1. Home
  2. Directory
  3. Indiana
  4. Anderson
  5. Specialist
  6. NPI Profile

JEFFREY M. BLAKE MD, INC.
NPI 1730207440
Specialist in Anderson, IN

Active since March 27, 2007
141 W. 22ND ST., SUITE 309, ANDERSON, IN 46016(765) 646-8569(765) 622-9708 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey M. Blake Md, Inc. NPPES

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

JEFFREY M. BLAKE MD, INC. (NPI 1730207440) is a healthcare organization registered as a specialist in Anderson, Indiana and active in the NPI registry since March 2007. The organization lists Jeffrey M. Blake, Owner, as its authorized official.

NPPES Registry Identity

NPI1730207440
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJEFFREY M. BLAKE MD, INC.
Location Address141 W. 22ND ST., SUITE 309Anderson, IN 46016-4389
Mailing Address141 W. 22nd St., Suite 309Anderson, IN 46016-4389 · (765) 646-8569 · Fax (765) 622-9708
Phone(765) 646-8569
Fax(765) 622-9708
Organization SubpartNo
Authorized OfficialJeffrey M. BlakeOwner · (765) 646-8569
Enumeration DateMarch 27, 2007
Last NPPES UpdateApril 27, 2011
✔ NPI 1730207440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
141 W. 22ND ST., Anderson, IN 46016
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified234990IN

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 Jeffrey M. Blake MD, Inc.'s NPI number?

The NPI number for Jeffrey M. Blake MD, Inc. is 1730207440. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Jeffrey M. Blake MD, Inc. located?

Jeffrey M. Blake MD, Inc. is located at 141 W. 22nd St. Suite 309, Anderson, IN 46016. The listed phone number is (765) 646-8569.

What is Jeffrey M. Blake MD, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jeffrey M. Blake MD, Inc. was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.