1013994953 NPI number — MR. JOHN VAYDEN BLAKE PA

Table of content: MR. JOHN VAYDEN BLAKE PA (NPI 1013994953)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013994953 NPI number — MR. JOHN VAYDEN BLAKE PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BLAKE
Provider First Name:
JOHN
Provider Middle Name:
VAYDEN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013994953
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/21/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1112
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAIRMONT
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26555-1112
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-986-1750
Provider Business Mailing Address Fax Number:
304-986-3742

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
118 MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANNINGTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26582-1131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-986-1750
Provider Business Practice Location Address Fax Number:
304-986-3742
Provider Enumeration Date:
12/30/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  202 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363A00000X , with the licence number: 929 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)