Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Surgical Association PLLC

Organization Surgery Physician · NPI 1154521466

Blake Surgical Association PLLC is a Surgery Physician in Cleveland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

907 E Sunflower Rd #101
Cleveland, MS 38732-2833
Phone: (662) 846-8880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 16881 (MS)
Surgery Physician Taxonomy 208600000X · Licence 16881 (MS)

Record details

NPI number1154521466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Blake — Owner/Physician · (662) 846-8880
NPI enumeratedJuly 24, 2007
Last updated in NPPESAugust 30, 2020
Certification dateAugust 30, 2020
Mailing address907 E Sunflower Rd, 101, Cleveland, MS 38732-2830

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