Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE MALCOLM ELY, PA-C
ActiveBLAKE MALCOLM ELY, PA-C is a Physician Assistant healthcare provider located in YPSILANTI, Michigan. NPI 1013629492 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · YPSILANTI, MI
Registration Details
- NPI Number
- 1013629492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2022 (3.6424731994288 yrs)
- Last Updated
- Jun 19, 2024
- License
-
5601012493 (MI)
Practice Information
- Address
-
5301 MCAULEY DRYPSILANTI, MI, 481971051Browse MI providers · Browse ZIP 48197
- Phone
- 2486971548
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in YPSILANTI, MI
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH SHEEP | PA-C | 1619973104 |
| CAROLYN M. NICKEL | PA | 1558349910 |
| KATHLEEN KERR | PA | 1437126406 |
| MS. JULIE ANN SIDELINGER | PA-C | 1912968017 |
| THOMAS POWER | P.A. | 1548223530 |
| MR. EVO F. LEVI | P.A.-C. | 1568426963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.