Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN VAYDEN BLAKE, PA
ActivePhysician Assistant · SUMMERSVILLE, WV
Registration Details
- NPI Number
- 1013994953
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2005 (20.308169547413 yrs)
- Last Updated
- Jan 3, 2025
- Licenses
-
202 (WV)929 (WV)
Practice Information
- Address
-
315 FAIRVIEW HEIGHTS RDSUMMERSVILLE, WV, 266511086Browse WV providers · Browse ZIP 26651
- Phone
- 3044692905
- Fax
- 3044655486
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SUMMERSVILLE, WV
| Name | Credential | NPI |
|---|---|---|
| JOY P FORD | PA-C | 1194717603 |
| JUDY MARIE SPENCER | PA-C | 1316922123 |
| PAMELA MICHELLE ODELL | PAC | 1821037102 |
| DEANNE R GRIM | PA | 1245271642 |
| CALLIE DAWN WOODS | PA-C | 1851671721 |
| MRS. BROOKE JANINE KEY | PHYSICIAN ASSISTANT | 1336659465 |
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.