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

Mr. Blake Matthew Davidson, MD

Individual provider Emergency Medicine Physician · NPI 1558820357

Mr. Blake Matthew Davidson, MD is an Emergency Medicine in Lexington, Kentucky. Qualified in 2019, 7 years ago. Practices with Kentucky Medical Services Foundation, Inc, a 952-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2019
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

1000 S Limestone
Lexington, KY 40536-1179
Phone: (859) 323-5901
Fax: (859) 323-3040
Show map & directions

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

Additional practice locations (1)

  • 222 Medical Circle, Morehead, KY 40351-1179 — (606) 783-6500

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 55656 (KY)

Record details

NPI number1558820357
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 19, 2019
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing address7619 W Jefferson Blvd, Fort Wayne, IN 46804-4133

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kentucky Medical Services Foundation, Inc — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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