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

Alex Blake, CSFA

Individual provider Surgical Physician Assistant · NPI 1710348701

Alex Blake, CSFA is a Surgical Physician Assistant in Blanchester, Ohio. Licensed in Ohio. Registered with an NPI since 2016.

Licensed in
OH
In the registry since
2016

Practice location Address checks out

10743 S State Route 133
Blanchester, OH 45107-9435
Phone: (937) 728-9782
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 157559 (OH)

Record details

NPI number1710348701
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorNo
NPI enumeratedMarch 17, 2016
Last updated in NPPESMarch 17, 2016