Michael Joseph Blake
MD | Pediatrics | Male
Michael Joseph Blake, MD is a Bozeman, Montana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michael Joseph Blake is
937 Highland Blvd Ste 5320, Bozeman, Montana - 59715-6916. He can be contacted on phone at
406-414-4900.
Michael Joseph Blake is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael Joseph Blake is
1578513701 which was assigned by NPPES on 10 May, 2006 and it was last updated on 22 Jul, 2021.
Michael Joseph Blake license number is
12120 for Pediatrics (208000000X) in Montana.
Michael Joseph Blake is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michael Joseph Blake basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Michael Joseph Blake |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Michael Joseph Blake address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 937 Highland Blvd Ste 5320
Bozeman, MT, 59715-6916
United States |
|---|
| Phone Number : | 406-414-4900 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1578513701 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 May, 2006 |
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| Last Updated On : | 22 Jul, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Joseph Blake are as mentioned. Primary taxonomy code for Michael Joseph Blake, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 12120 | MT |
Legacy Identifiers:
Other legacy medical identifiers of Michael Joseph Blake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 209287408 | MEDICAID | MO | |
| 1578513701 | MEDICAID | MT | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
206 ALASKA FRONTAGE RD,
BELGRADE, MT, 59714-7909
United States | BELGRADE, MT | 406-414-3334 |
875 S COTTONWOOD RD STE 300,
BOZEMAN, MT, 59718-4208
United States | BOZEMAN, MT | 406-414-4100 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | mblake7290947@direct.sanfordhealth.org
| | DIRECT
Direct
| CSV
CSV
| 937 HIGHLAND BLVD STE 5320,
BOZEMAN, MT, 59715-6916
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 915 Highland Blvd, Attn Pfs Credentialing
Bozeman, MT, 59715-6902
United States |
|---|
| Phone Number : | 406-414-5000 |
|---|
Business Location:
Patients can refer following map for directions to
Michael Joseph Blake practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.