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

Mr. Michael Blake, PA-S

Individual provider Medical Physician Assistant · NPI 1720943665

Mr. Michael Blake, PA-S is a Medical Physician Assistant in Mentor, Ohio. Licensed in Ohio. Registered with an NPI since 2025.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

7917 King Memorial Rd
Mentor, OH 44060-7328
Phone: (440) 269-9830
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (OH)

Record details

NPI number1720943665
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedDecember 23, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address7917 King Memorial Rd, Mentor, OH 44060-7328

Other providers in Mentor