IndividualActive
Jeffrey Blake, MD
NPI 1477545127 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Noblesville, IN
Provider details
- NPI number
- 1477545127
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01040057A (IN)
Practice location
14540 Prairie Lakes Blvd N Ste 110
Noblesville, IN 46060-4370
Phone: (317) 982-5222
Fax: (317) 982-5223
Mailing address
14540 Prairie Lakes Blvd N Ste 110
Noblesville, IN 46060-4370
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2024-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.