Peter J Blake, PA
Physician Assistant in Barre, Massachusetts
1760029862- Practice location
- 151 Worcester RD, Barre, MA 01005-9002
- Phone
- 783-556-3219
- Fax
- 978-355-6549
- Last updated
- May 2, 2023
Peter Jonathan Blake is a Physician Assistant based in Barre, MA. Peter Jonathan Blake practices in Barre, MA and has the professional credentials of PA. The NPI Number for Peter Jonathan Blake is 1760029862 and holds a License No. PA8403 (MA). The current practice location address for Peter Jonathan Blake is 151 Worcester RD, Barre, MA 01005-9002 and can be reached out via phone at 783-556-3219 and via fax at 978-355-6549.
Provider Profile Details
- NPI Number
- 1760029862
- Provider Name
- Peter Jonathan Blake
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 151 Worcester RD, Barre, MA 01005-9002
- Phone Number
- 783-556-3219
- Fax Number
- 978-355-6549
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 8, 2019
- Last Update Date
- May 2, 2023
- Certification Date
- May 2, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 151 Worcester RD
Barre, MA 01005-9002 - City
- Barre
- State
- Massachusetts
- Zip
- 01005-9002
- Phone Number
- 783-556-3219
- Fax Number
- 978-355-6549
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number (1)
- PA8403
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- PA8403
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Peter J Blake, PA?
The NPI number of Peter J Blake, PA is 1760029862. It was assigned on December 8, 2019 and is currently active in the NPPES registry.
What is the specialty of Peter J Blake, PA?
Peter J Blake, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA8403.
Where does Peter J Blake, PA practice?
The practice location is 151 Worcester RD, Barre, MA 01005-9002. The office can be reached at 783-556-3219 (phone) or 978-355-6549 (fax).
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 1760029862 directly on the NPPES registry website.