Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blake Surgical Association Pllc

Surgical Critical Care Physician in Cleveland, MS · enumerated 2007 · authorized official Roger Blake, Owner/Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154521466

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Registry record

Entity type Organization (Type 2)

Legal business name Blake Surgical Association Pllc

Practice address 907 E Sunflower Rd #101, Cleveland, MS, 38732

Phone (662) 846-8880

Enumeration date Jul 24, 2007

Last updated in NPPES Aug 30, 2020

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 16881 (MS) Secondary

2086S0102X Surgical Critical Care Physician Allopathic & Osteopathic Physicians · License 16881 (MS) Primary

Authorized official

Name Roger Blake

Title Owner/Physician

Phone (662) 846-8880

Other identifiers

Identifier	Type	State	Issuer
020000545	Other	MS	MEDICARE PROVIDER #
C03406	Other	MS	MEDICARE GROUP #
00122620	Medicaid	MS	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Blake Surgical Association Pllc?

Blake Surgical Association Pllc is registered in NPPES as a Surgical Critical Care Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-30.