Blake Surgical Association PLLC
NPI 1154521466ActiveOrganization· Surgery, Surgical Critical Care· Cleveland, MS
Surgery, Surgical Critical Care in Cleveland, Mississippi, registered in NPPES in July 2007. The authorized official on file is Roger Blake, M.D., Owner/Physician.
Overview
| NPI | 1154521466 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2007 |
| Last updated in NPPES | Aug 30, 2020 |
| Certified by provider | Aug 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Surgical Critical Care Primary | 2086S0102X | 16881 | MS |
| Surgery | 208600000X | 16881 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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