Search › West Virginia › 363A00000X
John Blake, PA
NPI 1013994953 · on the registry since 2005
Practice
- Address
- 315 Fairview Heights Rd
Summersville, WV 26651 - Phone
- (304) 469-2905
- Fax
- (304) 465-5486
- Organisation at this address
- New River Health Association, Inc.
Summersville Urology Associates, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia