SAMUEL R BLAKESLEY (NPI# 1417471954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417471954 |
| Entity Type | Individual |
| Full Name | SAMUEL R BLAKESLEY |
| Credential | MD |
| Practice Address |
6522 E Carondelet Dr Ste A Tucson AZ 85710-2197 |
| Practice Telephone | (520) 885-7967 |
| Mailing Telephone | 5208857967 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
6265 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 244534-01 | 05 |
| Street Address |
6522 E CARONDELET DR STE A |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568889939 | Anthea Dixon Md Ltd | Obstetrics & Gynecology | 5190 E Farness Dr Ste 106, Tucson, AZ 85712-2142 | 2014-03-24 |
| 1255632295 | John Leroy Kallmeyer, M.d. | Obstetrics & Gynecology | 11122 E. Rusty Spur Pl., Tucson, AZ 85749 | 2010-11-08 |
| 1952505828 | Pamela A Morford | Obstetrics & Gynecology | 5201 N Foothills Dr, Tucson, AZ 85718-4718 | 2007-06-13 |
| 1710079769 | James Michael Evers | Obstetrics & Gynecology | 2141 N Beverly, Ste 101, Tucson, AZ 85712-2155 | 2006-09-28 |
| 1124124193 | Stacey L Yell | Obstetrics & Gynecology | 6060 N Fountain Plaza Dr Ste 271, Tucson, AZ 85704-7870 | 2006-09-16 |
| 1073618161 | Jaime M Ledesma | Obstetrics & Gynecology | 7510 N Oracle Rd Ste 100, Tucson, AZ 85704-4447 | 2006-09-13 |
| 1871562405 | Elizabeth Simoneau | Obstetrics & Gynecology | 329 W Franklin St, Tucson, AZ 85701-8207 | 2006-03-16 |
| 1154305084 | Anthea J Dixon | Obstetrics & Gynecology | 5190 E Farness Dr, #106, Tucson, AZ 85712-2142 | 2005-12-05 |
| 1295910396 | Elizabeth A. Simoneau, Md, Pllc | Obstetrics & Gynecology | 329 W Franklin St, Tucson, AZ 85701-8207 | 2008-01-08 |
| 1124190202 | Hector C Streeter | Obstetrics & Gynecology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-11-14 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.