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John R Blake (M.D.)

John R Blake (M.D.) is a health care provider specializes in Family Medicine. He is associated with medical group practice KNOXVILLE MEDICAL AND INDUSTRIAL CLINIC and is affiliated with 3 hospitals as shown below.

profile-icon Basic Information

Practice Location 4306 Asheville Hwy, Knoxville, TN 37914-3601, US
Practice Location Phone865-522-2168
Practice Location Fax865-522-7116
GenderMale
Specialty InFamily Medicine
Medical SchoolEast Tennessee State University, Quillen-dishner College Of Medicine
Graduation Year1984
NPI ?1447220363
PECOS ID1658405113
Enrollment IDI20100819000166
Entity TypeIndividual
Enumeration Date ? Jan 24, 2006
Last Update Date ? Feb 3, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of John R Blake

SpecialtySpecializationLicenseLicense State
Family Medicine MD16391Tennessee

Medicare-icon Medicare Participation of John R Blake

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of John R Blake

Medical Group PracticeKnoxville Medical And Industrial Clinic
Affiliation 1 Fort Sanders Regional Medical Center
Affiliation 2 Tennova Healthcare-jefferson Memorial Hospital
Affiliation 3 Tennova Healthcare

legacy-id-icon Legacy Provider IDs of John R Blake

Provider IdIssuer StateIssuer TypeIssuer
3721704TennesseeMedicaid