Pediatrics, Adolescent Medicine
Dr. DIANE BLAKE M.D.
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 Plan acceptance stays unpublished until the practice reports it.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 1316921182 · enumerated 2005-12-05 · record updated 2026-07-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: DIANE BLAKE-JOHNSON
Addresses and phones
- Mailing address PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA, 01545-0062 (508) 334-8815 Fax (508) 334-5374 Google Maps Apple Maps OpenStreetMap
- Practice location 55 LAKE AVE N, DEPARTMENT OF ADOLESCENT MEDICINE, WORCESTER, MA, 01655-0002 (508) 856-5624 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Adolescent Medicine 2080A0000X · Primary · License 154470 MA
Published links
Locations and evidence
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Practice location
WORCESTER, MA, 016550002
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.