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Alexander Daniel Blake , PA-C

Physician Assistant β€’ Ft. Wainwright, AK

Active NPI 1104532795 Individual Practitioner Male Practitioner
Practice location in NPPES

4076 Neely Rd, Rm 3c-404
Ft. Wainwright, AK 997037440

Call 9073616028 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4076 Neely Rd
Rm 3c-404

Ft. Wainwright, AK 997037440

Telephone 9073616028

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ft. Wainwright and Alaska

9 active clinicians are listed under Physician Assistant with a practice address in Ft. Wainwright, AK (542 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 13, 2023

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

πŸ“
Updated Business Mailing Address October 13, 2023

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

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

Physician Assistant

βœ…
NPI Profile Active January 26, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 26, 2023

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

πŸ“
Business Mailing Address (Initial Record) January 26, 2023

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

πŸ‘€
Provider Name / Credentials (Initial Record) January 26, 2023

Recorded as ALEXANDER BLAKE, PA-C

πŸŽ“
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.

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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

Other Physician Assistants in Ft. Wainwright

Mailing Address

4076 Neely Rd, Rm 3c-404

Ft. Wainwright, AK 99703

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.