Physician Assistant
Mr. JOHN BLAKE PA
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 Plan acceptance stays unpublished until the practice reports it.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 1013994953 · enumerated 2005-12-30 · record updated 2025-01-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 315 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV, 26651-1086 (304) 469-2905 Fax (304) 465-5486 Google Maps Apple Maps OpenStreetMap
- Mailing address 497 MALL RD, OAK HILL, WV, 25901-6216 (304) 469-2905 Fax (304) 465-5486 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 202 WV
- Physician Assistant 363A00000X · Primary · License 929 WV
In this directory
Locations and evidence
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Practice location
SUMMERSVILLE, WV, 266511086
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.