Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL BLAKE, PA-S
ActiveMR. MICHAEL BLAKE, PA-S is a Medical Physician Assistant healthcare provider located in MENTOR, Ohio. NPI 1720943665 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MENTOR, OH
Registration Details
- NPI Number
- 1720943665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2025 (0.61433907253054 yrs)
- Last Updated
- Dec 23, 2025
Practice Information
- Address
-
7917 KING MEMORIAL RDMENTOR, OH, 440607328Browse OH providers · Browse ZIP 44060
- Phone
- 4402699830
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MENTOR, OH
| Name | Credential | NPI |
|---|---|---|
| SALLY S BLUM | PA | 1609818665 |
| LISA M NEDLEY | PA-C | 1366505406 |
| JORDAN SMITH | PA-C | 1932507092 |
| CLAY ELLENWOOD | PA-C | 1588134456 |
| VICTORIA CELESTE RADEL | PA-C | 1063130722 |
| KRISTI RENEA MEENAN | — | 1134832207 |
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.