Physician Assistant
BENJAMIN BLAKE PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1053806539 · enumerated 2018-06-26 · record updated 2024-09-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2600 OTTAWA RD, NEODESHA, KS, 66757-1897 (620) 325-2611 Fax (620) 325-8453 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 360, NEODESHA, KS, 66757-0360 (620) 325-2611 Fax (620) 325-8453 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 15-02102
In this directory
Locations and evidence
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Practice location
NEODESHA, KS, 667571897
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.