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Active NPI 1063474955 Individual Practitioner Male Practitioner

Dr. Michael Clarence Blake , MD

Surgery • Suffolk, VA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Blake, MD is a registered healthcare professional specializing in Surgery in Suffolk, VA. Practice services are available at 2790 GODWIN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2790 Godwin Blvd
Ste 305

Suffolk, VA 234348151

Telephone 7579344222
Fax 7579344111
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Suffolk, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Suffolk, VA (909 Statewide)

Telehealth Adoption Rate
14.3% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101023774

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

7 Associated Practitioners
NPI 1215058870

Doctor of Medicine (M.D.)

Michayla Smith , FNP-BC

Nurse Practitioner - Family

NPI 1265120521

Family Nurse Practitioner (Board Certified)

NPI 1275705253

Doctor of Medicine (M.D.)

NPI 1356870869

Doctor of Medicine (M.D.)

NPI 1497860944

Doctor of Medicine (M.D.)

NPI 1609222967

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2012

Registered at 2790 GODWIN BLVD, STE 305, SUFFOLK, VA 234348151 (Tel: 7579344222)

📍
Updated Business Mailing Address November 13, 2012

Registered at 2790 GODWIN BLVD, STE 305, SUFFOLK, VA 234348151 (Tel: 7579344222)

👤
Provider Name / Credentials Updated November 13, 2012

Recorded as MICHAEL BLAKE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2012

Surgery (License #0101023774 in VA)

🟢
Initial NPI Registration & Enumeration April 05, 2006

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: 1063474955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2006
Last Update: November 13, 2012
Sole Proprietor: No

Mailing Address

2790 Godwin Blvd, Ste 305

Suffolk, VA 234348151

Phone: 7579344222

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.