ANDREA C. BLAKE M.D. – NPI #1073606026
Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
ANDREA BLAKE is a physician located in WASHINGTON TOWNSHIP, MI. NPPES has assigned the NPI number 1073606026 to ANDREA BLAKE on October 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.
The NPI profile was last updated on Feb 04, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDREA BLAKE below.
NPI Profile for
ANDREA C. BLAKE
(more than 19 years ago)
SUITE 150
WASHINGTON TOWNSHIP, MI 48307 Phone: (586) 992-9567 Fax: (586) 992-9568
1 Other location(s):
Rochester, MI 48307-1863
Phone: (248) 652-5120
Fax: (248) 650-9160
STE 3A
ROCHESTER, MI 48307-1886 Phone: (313) 874-4806 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for ANDREA BLAKE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | MI | 4389585 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207V00000X - Obstetrics & Gynecology (Primary) |
MI | 4301061308 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
ANDREA BLAKE is affiliated with the following medical group(s):
- HOSPITAL
- ASCENSION PROVIDENCE ROCHESTER HOSPITAL1101 W UNIVERSITY DRIVE
ROCHESTER, MI 48307 - BEAUMONT HOSPITAL, TROY44201 DEQUINDRE ROAD
TROY, MI 48085
- ASCENSION PROVIDENCE ROCHESTER HOSPITAL1101 W UNIVERSITY DRIVE
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