Mr. John Vayden Blake, PA
Mr. John Vayden Blake, PA is a Physician Assistant in Summersville, West Virginia. Qualified in 1998, 28 years ago. Practices with New River Health Association Inc, a 36-clinician group and accepts Medicare assignment. Licensed in West Virginia.
- Years since qualifying
- 28
- Licensed in
- WV
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
315 Fairview Heights RdSummersville, WV 26651-1086
Phone: (304) 469-2905
Fax: (304) 465-5486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 929 (WV) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 202 (WV) |
Record details
| NPI number | 1013994953 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | December 30, 2005 |
| Last updated in NPPES | January 3, 2025 |
| Certification date | January 3, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1998 (28 years in practice) |
| Group practice | New River Health Association Inc — 36 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Summersville
-
Joy P Ford, PA-C
5870 Webster Rd, Summersville, WV 26651-9105 · (304) 872-3709
-
Deanne R Grim, PA
4089 Webster Rd, Summersville, WV 26651 · (304) 872-0111
-
Mrs. Brooke Janine Key, PHYSICIANASSISTANT
400 Fairview Heights Rd Ste 204, Summersville, WV 26651-9308 · (304) 872-8444
-
Pamela Michelle Odell, PAC
#1 Stevens Rd Seneca Health Services Inc, Summersville, WV 26651 · (304) 872-2659