Stephen David Blake
MD | Pediatrics | Male
Stephen David Blake, MD is a Spartanburg, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Stephen David Blake is
249 N Grove Medical Park Dr Ste 100, Spartanburg, South Carolina - 29303-4227. He can be contacted on phone at
864-582-8135.
Stephen David Blake is a sole proprietor of his business.
NPI number (Unique professional ID) for Stephen David Blake is
1538111588 which was assigned by NPPES on 17 May, 2006 and it was last updated on 29 Mar, 2023.
Stephen David Blake license number is
26859 for Pediatrics (208000000X) in South Carolina.
Stephen David 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:
Stephen David Blake basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Stephen David Blake |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Stephen David 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 : | 249 N Grove Medical Park Dr Ste 100
Spartanburg, SC, 29303-4227
United States |
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| Phone Number : | 864-582-8135 |
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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 : | 1538111588 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 May, 2006 |
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| Last Updated On : | 29 Mar, 2023 |
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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 Stephen David Blake are as mentioned. Primary taxonomy code for Stephen David Blake, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | No | 26859 | SC |
| 208000000X | Pediatrics | Yes | 26859 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Stephen David Blake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 268597 | MEDICAID | SC | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1780 NICHOLASVILLE RD, SUITE 301
LEXINGTON, KY, 40503-1400
United States | LEXINGTON, KY | 859-277-6636 |
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) | sblake7214@direct.ghs.myhfn.org
| No affiliation | HIE
Health Information Exchange (HIE)
| OTHER
Other
Provider | 249 N Grove Medical Park Dr Ste 100,
Spartanburg, SC, 29303-4227
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 : | 300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States |
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| Phone Number : | 864-522-8603 |
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Business Location:
Patients can refer following map for directions to
Stephen David 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.