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DR. GREGORY HAROLD BLAKE MD MPH NPI 1841257482


NPI Information

NPI: 1841257482
Provider Name: DR. GREGORY HAROLD BLAKE, MD, MPH
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1924 ALCOA HWY
U-100
KNOXVILLE, TN
ZIP 37920
Phone: (865) 544-9351
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DR. Gregory Harold Blake, MD, MPH is a family medicine in Knoxville, TN with 47 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Gregory Harold Blake, MD, MPH NPI is 1841257482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:1977

The provider's business location address is:

1924 ALCOA HWY
U-100
KNOXVILLE, TN
ZIP 37920-511
Phone: (865) 544-9351
Fax: (865) 544-9314

The NPI 1841257482 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 enumeration date for this NPI number is 4/27/2006 and was last updated on 9/28/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine26558TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100011282OTHERTENNESSEEPHP TENNCARE
23023731OTHERTENNESSEEBLUE CROSS/BLUE SHIELD
35766020OTHERTENNESSEEAETNA
4080100419OTHERRAILROAD MEDICARE
5TN0191OTHERTENNESSEEJOHN DEERE
601-41085OTHERTENNESSEEUNITED HEATLH CARE
73092066MEDICAIDTENNESSEE
81689631137OTHERTENNESSEEGROUP NPI
93523237OTHERTENNESSEECIGNA
1034409MEDICARE UPIN
113092065MEDICARE ID-TYPE UNSPECIFIED

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.