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

Dr. Blake Patrick Sampson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588007520

Dr. Blake Patrick Sampson, MD is a Dermatology in Salt Lake City, Utah. Graduated from University of Washington School of Medicine in 2013, 13 years ago. Practices with Dermatology Associates PLLP, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
13
Trained at
University of Washington School of Medicine
Licensed in
ID, UT
In the registry since
2013
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Salt Lake City, UT

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 91787531205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence MRM-1316 (ID)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 91787753 (UT)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 91787753 (UT)

Record details

NPI number1588007520
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2013
Last updated in NPPESMay 9, 2017

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Dermatology Associates Pllp — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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