DR. MICHAEL CLARENCE BLAKE (M.D.) – Surgery Physician, NPI 1063474955

DR. MICHAEL CLARENCE BLAKE (M.D.) is a healthcare provider. based in Suffolk, Virginia. specializing in Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 0101023774 (VA). The NPI Number for DR. MICHAEL CLARENCE BLAKE (M.D.) is 1063474955

Main info

Male
Name
DR. MICHAEL CLARENCE BLAKE (M.D.)
NPI
1063474955
Phone
(757) 934-4222
Address
2790 GODWIN BLVD
Enumeration Date
5 April 2006
Last Update Date
13 November 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MICHAEL CLARENCE BLAKE (M.D.)

  • 2790, Godwin Boulevard, Red Top, Suffolk, Suffolk (city), Virginia, 23434, United States

    STE 305

    SUFFOLK, VA 234348151

    Phone: (757) 934-4222

    Fax: (757) 934-4111

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23434)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. MICHAEL CLARENCE BLAKE (M.D.)'s NPI?
Yes. DR. MICHAEL CLARENCE BLAKE (M.D.) is listed with NPI 1063474955 in the public NPI dataset.
Is DR. MICHAEL CLARENCE BLAKE (M.D.) listed as active for patients and plans?
The listing shows DR. MICHAEL CLARENCE BLAKE (M.D.) as active in the NPI system.
What is DR. MICHAEL CLARENCE BLAKE (M.D.)'s primary classification?
Surgery Physician is the headline specialty for DR. MICHAEL CLARENCE BLAKE (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. MICHAEL CLARENCE BLAKE (M.D.) serve?
DR. MICHAEL CLARENCE BLAKE (M.D.)'s listing highlights Suffolk, Virginia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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