OrganizationActive
Blake Surgical Association PLLC
NPI 1154521466 · Surgical Critical Care Physician · Cleveland, MS
Provider details
- NPI number
- 1154521466
- Entity type
- Organization
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roger Blake, Owner/Physician(662) 846-8880
- License
- 16881 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
907 E Sunflower Rd #101
Cleveland, MS 38732-2833
Phone: (662) 846-8880
Approximate (ZIP-level) locationGet directions
Mailing address
907 E Sunflower Rd
Cleveland, MS 38732-2830
Registry dates
- Enumerated
- 2007-07-24
- Last updated
- 2020-08-30
- Certified
- 2020-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.