John C Blake
Physician β’ Oshkosh, WI
50 Pearl Ave Ste 102
Oshkosh, WI 549014811
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
50 Pearl Ave Ste 102
Oshkosh, WI 549014811
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Columbus, OH. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Physician: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2025
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, βDoes your provider accept Medicare as full payment?β
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.
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: 2025-02-19NUCC Taxonomy Code: 320900000X
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Secondary Practice Locations
2323 Lake Club Dr Ste 301
Columbus, OH 432323198
Phone: 6144564999
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 50 PEARL AVE STE 102, OSHKOSH, WI 549014811 (Tel: 4143457781)
Registered at 2844 MONTCLAIR PL, OSHKOSH, WI 549048944 (Tel: 4143457781)
Additional practice office at 2323 Lake Club Dr Ste 301, Columbus, OH 432323198
Recorded as JOHN BLAKE
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (license number reported to NPPES: WI 0017165)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
2844 Montclair Pl
Oshkosh, WI 549048944
Phone: 4143457781