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Active NPI 1942749965 Individual Practitioner Female Practitioner

Judith Elise Blake , PA-C

Physician Assistant - Surgical • Daphne, AL

Professional Overview & Biography Verified Profile Summary

Judith Blake, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Daphne, AL. Practice services are available at 1505 DAPHNE AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, ketorolac tromethamine, per 15 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1505 Daphne Ave

Daphne, AL 365264298

Telephone 2516252663
Fax 2516253198
Associated Practice Facility / Clinic
🏢 Baldwin Bone & Joint P C Facility NPI 1790714459

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Daphne, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 17.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Daphne, AL (202 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
542 199 $279.05 $98.01
J1885 Injection, ketorolac tromethamine, per 15 mg
105 36 $22.00 $0.67
99213 Established patient office or other outpatient visit, typically 15 minutes
52 46 $199.54 $69.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
51 39 $28.00 $10.75
72148 MRI scan of lower spinal canal
16 16 $1639.00 $138.38

Medical Specialties & State Licenses

CMS Verified: 2023-10-16
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License AL PA.1207

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Dr. Elliott Pennington , MD

Anesthesiology - Pain Medicine

NPI 1093203895

Doctor of Medicine (M.D.)

Dr. John Harcourt , MD

Family Medicine - Sports Medicine

NPI 1104917764

Doctor of Medicine (M.D.)

Elizabeth Luscher , CRNP

Nurse Practitioner

NPI 1154739548

Certified Registered Nurse Practitioner

Celeste Fleming , PA-C

Physician Assistant

NPI 1184875569

Physician Assistant (Certified)

Dawn Thomas , PT

Physical Therapist

NPI 1205087558

Physical Therapist

Taylor Lewis , OTR, L

Occupational Therapist

NPI 1225549215

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 16, 2023

Registered at 1505 DAPHNE AVE, DAPHNE, AL 365264298 (Tel: 2516252663)

📍
Updated Business Mailing Address October 16, 2023

Registered at 1505 DAPHNE AVE, DAPHNE, AL 365264298 (Tel: 2516252663)

📍
Updated Practice Location January 14, 2019

Registered at 3610 SPRINGHILL MEMORIAL DR N, MOBILE, AL 366081162 (Tel: 2514103600)

📍
Updated Practice Location August 29, 2018

Registered at 4517 SOUTHLAKE PKWY, HOOVER, AL 35244 (Tel: 2059854111)

📍
Updated Business Mailing Address August 29, 2018

Registered at 4517 SOUTHLAKE PKWY, HOOVER, AL 352443280 (Tel: 2059854111)

NPI Profile Active February 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2017

Registered at FOT 1060, 1720 2ND AVE S, BIRMINGHAM, AL 352943410 (Tel: 2059966536)

📍
Updated Business Mailing Address February 23, 2017

Registered at 1105 26TH ST S APT 303, BIRMINGHAM, AL 352052440 (Tel: 2516562009)

👤
Provider Name / Credentials Updated February 23, 2017

Recorded as JUDITH BLAKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2017

Physician Assistant (License #PA.1207 in AL)

🟢
Initial NPI Registration & Enumeration February 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942749965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2017
Last Update: October 16, 2023
Sole Proprietor: No

Mailing Address

1505 Daphne Ave

Daphne, AL 365264298

Phone: 2516252663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.