DR. MARTIN L. BLAKELY (NPI# 1558315861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558315861 |
| Entity Type | Individual |
| Full Name | DR. MARTIN L. BLAKELY |
| Credential | M.D. |
| Practice Address |
7102 Doctors Office Tower 2200 Children's Way Nashville TN 37232-0001 |
| Mailing Address |
3601 Tvc Nashville TN 37232-0001 |
| Practice Telephone | 6159361050 |
| Practice Fax Number | 6159361046 |
| Mailing Telephone | 6153223000 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD21201 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 154178001 | 05 | |
| MS | 07578394 | 05 | |
| TN | 3891672 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 Childrens Way, Nashville, TN 372320005 | 6159362000 |
| Street Address |
7102 DOCTORS OFFICE TOWER 2200 CHILDREN'S WAY |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
| Find all providers in zip 37232 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902993025 | Stephen Eric Morrow | Surgery | 330 23rd Ave N Ste 350, Nashville, TN 37203-1650 | 2006-10-09 |
| 1306013719 | Melissa Ellen Danko | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2008-05-14 |
| 1578635025 | Eunice Yuee-dean Huang | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-4625 | 2006-11-13 |
| 1669569778 | Harold N. Lovvorn IIi | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| 1720170152 | John Pietsch | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| 1558453969 | James Oneill | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| 1477645802 | Wallace Neblett | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| 1982796397 | Walter Morgan | Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-30 |
| 1295762797 | John C Thomas | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407950934 | Horace Norman Noe | Surgery | 770 Estate Pl, Memphis, TN 38120-0600 | 2006-09-13 |
| 1932131901 | Carlos A Angel | Surgery | 2100 Clinch Ave Suite 430, Knoxville, TN 37916 | 2006-07-07 |
| 1437110004 | Brad A Feltis | Surgery | 325 N State of Franklin Rd Fl 3, Johnson City, TN 37604-6171 | 2006-03-31 |
| 1669432761 | Carol L Fowler | Surgery | 2100 Clinch Ave, Ste 430, Knoxville, TN 37916 | 2006-03-24 |
| 1588645774 | William Glaze Vaughan | Surgery | 2100 Clinch Ave Ste 430, Knoxville, TN 37916-2290 | 2005-11-07 |
| 1861810319 | Israel Fernandez-pineda | Surgery | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2014-04-02 |
| 1558619213 | Abdelhafeez H Abdelhafeez | Surgery | 262 Danny Thomas Pl, Memphis, TN 38105 | 2012-08-28 |
| 1336403021 | Hong Pheng Amos Loh | Surgery | 262 Danny Thomas Pl, Department of Surgery, Memphis, TN 38105-3678 | 2012-06-27 |
| 1134363518 | Jeremy Gabriel Fisher | Surgery | 979 E 3rd St Ste 300, Chattanooga, TN 37403-2187 | 2009-04-28 |
| 1437319621 | Mark A Williams M D Pllc | Surgery | 770 Estate Pl, Memphis, TN 38120-0600 | 2008-06-11 |
| Find all providers with the same taxonomy | ||||
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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.