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Active NPI 1104532795 Individual Practitioner Male Practitioner

Alexander Daniel Blake , PA-C

Physician Assistant • Ft. Wainwright, AK

Professional Overview & Biography Verified Profile Summary

Alexander Blake, PA-C is a registered healthcare professional specializing in Physician Assistant in Ft. Wainwright, AK. Practice services are available at 4076 NEELY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4076 Neely Rd
Rm 3c-404

Ft. Wainwright, AK 997037440

Telephone 9073616028

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ft. Wainwright, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Ft. Wainwright, AK (551 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

15 Associated Practitioners
NPI 1174294136

Doctor of Dental Surgery

Dr. Hannah Robinson , MD

Obstetrics & Gynecology

NPI 1235695784

Doctor of Medicine (M.D.)

Dr. Benjamin Donham , MD

Emergency Medicine

NPI 1285771642

Doctor of Medicine (M.D.)

Dr. Joshua Hamilton , MD

Psychiatry & Neurology - Psychiatry

NPI 1356809255

Doctor of Medicine (M.D.)

NPI 1487131249

Doctor of Dental Surgery

Matthew Manzo

Physical Therapist

NPI 1578178620

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 13, 2023

Registered at 4076 NEELY RD, RM 3C-404, FT. WAINWRIGHT, AK 997037440 (Tel: 9073616028)

📍
Updated Business Mailing Address October 13, 2023

Registered at 4076 NEELY RD, RM 3C-404, FT. WAINWRIGHT, AK 99703

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2023

Physician Assistant

NPI Profile Active January 26, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2023

Registered at 6000 MASSACHUSETTS AVE, BETHESDA, MD 208162042 (Tel: 2109138326)

📍
Updated Business Mailing Address January 26, 2023

Registered at 6000 MASSACHUSETTS AVE, BETHESDA, MD 208162042 (Tel: 2109138326)

👤
Provider Name / Credentials Updated January 26, 2023

Recorded as ALEXANDER BLAKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2023

Military Health Care Provider

🟢
Initial NPI Registration & Enumeration January 26, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104532795
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2023
Last Update: October 13, 2023
Sole Proprietor: No

Mailing Address

4076 Neely Rd, Rm 3c-404

Ft. Wainwright, AK 99703

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.