Isernhagen, Blake
Isernhagen, Blake is an individual health care provider with primary practice located at 120 N Eagle Creek Dr Ste 500, Lexington KY 40509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Isernhagen, Blake can be contacted via phone (859) 263-3900.Contact Information
Primary practice address
120 N Eagle Creek Dr Ste 500
Lexington KY 40509
Phone: (859) 263-3900
Fax: (859) 263-3757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 48761 | Kentucky |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 48761 | Kentucky |
Profile Details
| NPI number | 1336469444 |
|---|---|
| LBN Legal business name | Isernhagen, Blake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2010 |
| Last updated | Aug 22nd, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336469444 | NPPES |
| West Virginia | MEDICAID | 1336469444 | |
| West Virginia | MEDICAID | 0163986 | |
| West Virginia | MEDICAID | 200312510A | |
| West Virginia | MEDICAID | 300015774 | |
| West Virginia | MEDICAID | 7100400550 |
Popular Providers
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Odaibo, Stephen Gbejule
120 N Eagle Creek Dr Ste 500 , Lexington KY 40509 -
Albuquerque, Romulo Jc
University Of Kentucky & Affiliates 800 Rose St., Lexington KY 40536-0001 -
Isernhagen, Ricky D.
120 N Eagle Creek Dr Ste 500, Lexington KY 40509-1827 -
Sabbagh, Osama
120 N Eagle Creek Dr Ste 500 , Lexington KY 40509-1827 -
Shirkey, Belinda L
120 N Eagle Creek Dr Ste 500, Lexington KY 40509 -
Fraser, Claire Elizabeth
110 Conn Ter Ste 550 University Of Kentucky Dept Of Ophthalmology, Lexington KY 40508-3206 -
Thompson, Angelia F
3290 Blazer Pkwy Ste 100 , Lexington KY 40509-2169 -
Purkiss, Todd Jordan
120 N Eagle Creek Dr Ste 500, Lexington KY 40509-1827