BLAKE ALLEN DAVIS PA NPI 1609319359

NPI Information

  • NPI: 1609319359
  • Provider Name: BLAKE ALLEN DAVIS, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2776 CLEVELAND AVE
    FORT MYERS, FL
    ZIP 33901
  • Phone: (239) 343-1614

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NPI Details

Blake Allen Davis, PA is a physician assistant in Fort Myers, FL with 9 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Blake Allen Davis, PA NPI is 1609319359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2776 CLEVELAND AVE
FORT MYERS, FL
ZIP 33901-864
Phone: (239) 343-1614
Fax: (239) 343-3695

The NPI 1609319359 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose (HCPCS:J7323)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Incision of hip tendon (HCPCS:27001)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Lengthening of multiple hamstring tendons in leg (HCPCS:27394)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Hyaluronan or derivative, gel-one, for intra-articular injection, per dose (HCPCS:J7326)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
  • Anchoring of biceps tendon (HCPCS:23430)
  • Removal of entire shoulder joint lining using an endoscope (HCPCS:29821)
  • Incision of connective tissue on side of pelvis or buttock (HCPCS:27027)
  • Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Hip replacement (HCPCS:NAN09)

The enumeration date for this NPI number is 11/29/2016 and was last updated on 5/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA9110010FLORIDANo
2363A00000XPhysician AssistantPA9110010FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1126087000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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