Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164938288 Individual Practitioner Male Practitioner

Blake Allan Johnson

Surgery • Boston, MA

Professional Overview & Biography Verified Profile Summary

Blake Johnson is a registered healthcare professional specializing in Surgery in Boston, MA. Practice services are available at 55 FRUIT ST GRB-425 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St Grb-425

Boston, MA 021142696

Telephone 6177262800

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.9 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
454 Specialists

Practicing in Boston, MA (1077 Statewide)

Telehealth Adoption Rate
19.2% 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: 2024-06-06
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 3016538

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003669938

Doctor of Medicine (M.D.)

Ethan Agritelley

Student in an Organized Health Care Education/Training Program

NPI 1003754334
Dr. Ruth Delaney , MD

Orthopaedic Surgery

NPI 1013163682

Doctor of Medicine (M.D.)

Dr. Sonia Cohen , MD, PhD

Surgery - Surgical Oncology

NPI 1033557756

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Catherine Williamson , MD

Student in an Organized Health Care Education/Training Program

NPI 1033816079

Doctor of Medicine (M.D.)

NPI 1043062615

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Surgery (License #3016538 in MA)

📍
Updated Practice Location April 09, 2024

Registered at 55 FRUIT ST GRB-425, BOSTON, MA 021142696 (Tel: 6177262800)

📍
Updated Business Mailing Address April 09, 2024

Registered at 55 FRUIT ST GRB 425, BOSTON, MA 021142696 (Tel: 6177262800)

NPI Profile Active December 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2017

Registered at 600 N WOLFE ST, BALTIMORE, MD 212870005 (Tel: 4109555000)

📍
Updated Business Mailing Address December 27, 2017

Registered at 733 N BROADWAY STE 147, BALTIMORE, MD 212051832 (Tel: 4109553080)

👤
Provider Name / Credentials Updated December 27, 2017

Recorded as BLAKE JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 27, 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: 1164938288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2017
Last Update: June 06, 2024
Sole Proprietor: No

Mailing Address

55 Fruit St Grb 425

Boston, MA 021142696

Phone: 6177262800

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.