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

Jonathan Michael Blake, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205722543

Jonathan Michael Blake, MD is a Student in an Organized Health Care Education/Training Program in West Reading, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025
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

420 S 5th Ave
West Reading, PA 19611-2143
Phone: (484) 628-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence MT235372 (PA)

Record details

NPI number1205722543
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2025
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address420 S 5th Ave, West Reading, PA 19611-2143

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