Kori Blake
NPI 1790553576ActiveIndividual· Physician Assistant· Glen Dale, WV
Physician Assistant with West Virginia University Medical Corporation, practicing in Glen Dale, West Virginia. Enrolled in Medicare as practitioner - physician assistant. Lists West Virginia University Hospitals, Inc as a hospital affiliation.
Overview
| NPI | 1790553576 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 12, 2023 |
| Last updated in NPPES | Dec 12, 2023 |
| Certified by provider | Dec 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WV) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- West Virginia University Medical CorporationMorgantown, WV · 1,980 clinicians
Hospital affiliation
- West Virginia University Hospitals, IncMorgantown, WV
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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