DEIDRE BLAKE M.D. – NPI #1336157015
Orthopaedic Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

DEIDRE BLAKE is an orthopaedic surgeon located in ITHACA, NY. NPPES has assigned the NPI number 1336157015 to DEIDRE BLAKE on August 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207XS0114X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery

The NPI profile was previously updated about 10 years ago on Sep 13, 2016. 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 DEIDRE BLAKE below.

NPI Profile for
DEIDRE BLAKE

NPI Number
1336157015
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DEIDRE BLAKE
Credentials
M.D.
Primary location
16 BRENTWOOD DR
SUITE A
ITHACA, NY 14850-1863
Phone: (607) 272-7000 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

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
207XS0114X
- Orthopaedic Surgery / Adult Reconstructive Orthopaedic Surgery (Primary)		 NY 256896

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

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DEIDRE BLAKE is affiliated with the following medical group(s):
  • HOSPITAL
    • CAYUGA MEDICAL CENTER AT ITHACA
      101 DATES DRIVE
      ITHACA, NY 14850
    • GUTHRIE CORTLAND REGIONAL MEDICAL CENTER
      134 HOMER AVENUE
      CORTLAND, NY 13045
    • SCHUYLER HOSPITAL
      220 STEUBEN STREET
      MONTOUR FALLS, NY 14865
  • HOME HEALTH AGENCY
    • HCR / HCR HOME CARE CHHA (LIVERPOOL)
      290 ELWOOD DAVIS RD, SUITE 104
      LIVERPOOL, NY 13088
    • ROCHESTER REGIONAL HEALTH HOME CARE
      330 MONROE AVENUE
      ROCHESTER, NY 14607
    • VNS ITHACA TOMPKINS CO CHHA
      138 CECIL A MALONE DRIVE
      ITHACA, NY 14850

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