Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blake Andrew Naso

Individual provider Medical Physician Assistant · NPI 1912716499

Blake Andrew Naso is a Physician Assistant in Wyandotte, Michigan. Graduated from University of Toledo College of Medicine in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations.

Years since qualifying
1
Trained at
University of Toledo College of Medicine
In the registry since
2024

Practice location Address checks out

1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone: (734) 282-2500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16826 Newburgh Rd, Livonia, MI 48154-1600 — (734) 464-8400

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1912716499
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 30, 2024
Last updated in NPPESNovember 4, 2026
Certification dateNovember 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Wyandotte