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

Douglas Blake, MD

Individual provider Anesthesiology Physician · NPI 1104883123

Douglas Blake, MD is an Anesthesiology Physician in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

591 Eddy St Dept OF Anesthesia
Providence, RI 02903-4922
Phone: (401) 444-2284
Fax: (401) 444-5083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence RI8815 (RI)

Record details

NPI number1104883123
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESJuly 13, 2026
Mailing address690 Canton St, Ste 325, Westwood, MA 02090-2324

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