DAVID P. BLAKE MD – NPI #1548233125
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

DAVID BLAKE is a surgeon located in SAINT PAUL, MN. NPPES has assigned the NPI number 1548233125 to DAVID BLAKE on February 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. 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 DAVID BLAKE below.

NPI Profile for
DAVID P. BLAKE

NPI Number
1548233125
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAVID P. BLAKE
Credentials
MD
Primary location
640 JACKSON STREET
MC 11503K
SAINT PAUL, MN 55102-2502
Phone: (651) 254-3462 Fax: (651) 254-1603
Mailing address
8100 34 AVE S
MAIL STOP 21110Q
BLOOMINGTON, MN 55425-1672
Phone: (952) 883-5463 Fax: (952) 883-8395
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
2086S0129X
- Surgery / Vascular Surgery (Primary)
MN 25966

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.