Active NPIIndividual provider

Ryan Blake, PA-C

Physician Assistant in Jefferson, Massachusetts

NPI Number1316758873
Practice location
4 Heather Cir, Jefferson, MA 01522-1419
Fax
—
Last updated
January 15, 2025

Ryan Blake is a Physician Assistant based in Jefferson, MA. Ryan Blake practices in Jefferson, MA and has the professional credentials of PA-C. The NPI Number for Ryan Blake is 1316758873. The current practice location address for Ryan Blake is 4 Heather Cir, Jefferson, MA 01522-1419 and can be reached out via phone at 508-981-8296.

Provider Profile Details

NPI Number
1316758873
Provider Name
Ryan Blake
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4 Heather Cir, Jefferson, MA 01522-1419
Phone Number
508-981-8296
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
January 15, 2025
Last Update Date
January 15, 2025
Certification Date
January 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Heather Cir
Jefferson, MA 01522-1419
Zip
01522-1419
Phone Number
508-981-8296
Jefferson, MA 01522Get directions →

Provider Business Mailing Address Details

Address
4 Heather Cir
Jefferson, MA 01522-1419
City
Jefferson
State
MA
Zip
01522-1419

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ryan Blake, PA-C?

The NPI number of Ryan Blake, PA-C is 1316758873. It was assigned on January 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Ryan Blake, PA-C?

Ryan Blake, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Ryan Blake, PA-C practice?

The practice location is 4 Heather Cir, Jefferson, MA 01522-1419. The office can be reached at 508-981-8296 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316758873 directly on the NPPES registry website.

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