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Johnathon Blake, M.D., M.H.S.A
NPI 1487040002 · on the registry since 2015
Practice
- Address
- 10985 Cody St Ste 115
Overland Park, KS 66210 - Phone
- (816) 444-1777
- Fax
- (816) 333-3277
- Organisation at this address
- Partners In Rehab Medicine
Heart Of America Eye Care PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 5721 W 119th St, Overland Park, KS
- 2316 E Meyer Blvd, Kansas City, MO
- 6265 Rock Chalk Dr, Lawrence, KS
- 1201 W 12th Ave, Emporia, KS
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 208100000X
- Licence states on file
- MO, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas