Blakely Reeder (NPI# 1205345386, PAC ID# 2466727821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205345386 |
| PAC ID by PECOS | 2466727821 |
| Professional Enrollment ID | I20171011000700 |
| Full Name | Blakely Reeder |
| Organization Legal Name | GENERAL EMERGENCY PHYSICIANS INC |
| Address |
5201 Northshore Dr North Little Rock AR 72118-5312 |
| Phone Number | 8779187020 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618148800 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040147 | ARKANSAS SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5201 Northshore Dr, North Little Rock, AR 72118-5312 | 8779187020 | GENERAL EMERGENCY PHYSICIANS INC |
| Organization Legal Name | GENERAL EMERGENCY PHYSICIANS INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanna Leigh Hill Spence | Family Medicine | General Emergency Physicians Inc | 311 Morrow St N, Mena Regional Health System, Mena, AR 71953-2516 |
| Brent D Chavis | Family Medicine | General Emergency Physicians Inc | 311 Morrow St N, Mena Regional Health System, Mena, AR 71953-2516 |
| Angela A Barrow | Family Medicine | General Emergency Physicians Inc | 5201 Northshore Dr, Arkansas Surgical Hospital, North Little Rock, AR 72118-5312 |
| Leslie L Lisdell | Family Medicine | General Emergency Physicians Inc | 311 Morrow St N, Mena Regional Health System, Mena, AR 71953-2516 |
| Gary W Villines | Emergency Medicine | General Emergency Physicians Inc | 5201 Northshore Dr, North Little Rock, AR 72118-5312 |
| James W Ellis | Emergency Medicine | General Emergency Physicians Inc | 24 Norris St, Eureka Springs Hospital Er Dept, Eureka Springs, AR 72632-3541 |
| Street Address |
5201 NORTHSHORE DR |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip | 72118-5312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reza Shahim | Neurosurgery | Neuroscience Associates | 5201 Northshore Dr, Suite 100, North Little Rock, AR 72118-5312 |
| Rita M Odom | Nurse Practitioner | Neuroscience Associates | 5201 Northshore Dr, Suite 100, North Little Rock, AR 72118-5312 |
| James Z Mason | Neurosurgery | Neuroscience Associates | 5201 Northshore Dr, Suite 100, North Little Rock, AR 72118-5312 |
| Aaron W Blackerby | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthetist Professionals Inc | 5201 Northshore Dr, Ar Surgical Hospital, North Little Rock, AR 72118-5312 |
| Carl Lee Caple | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthetist Professionals Inc | 5201 Northshore Dr, Ar Surgical Hospital, North Little Rock, AR 72118-5312 |
| Angela A Barrow | Family Medicine | General Emergency Physicians Inc | 5201 Northshore Dr, Arkansas Surgical Hospital, North Little Rock, AR 72118-5312 |
| Matthew Steven Cherry | Diagnostic Radiology | Arkansas Specialty Radiology Pllc | 5201 Northshore Dr, Arkansas Surgical Hospital, N Little Rock, AR 72118-5312 |
| Emily C Tucker | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthetist Professionals Inc | 5201 Northshore Dr, Ar Surgical Hospital, North Little Rock, AR 72118-5312 |
| Ralph C Henson Jr. | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthetist Professionals Inc | 5201 Northshore Dr, Ar Surgical Hospital, North Little Rock, AR 72118-5312 |
| Barry D Baskin | Physical Medicine and Rehabilitation | 5201 Northshore Dr, Suite 200, North Little Rock, AR 72118-5312 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peggy S Engelhoven | Chiropractic | 4401 Orange St, North Little Rock, AR 72118-3621 | |
| Bryant B Ashley Jr. | Optometry | 3418 Camp Robinson Rd, North Little Rock, AR 72118-5051 | |
| Jeffery A Hart | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthetist Professionals Inc | 5201 Northshore Dr, Ar Surgical Hospital, North Little Rock, AR 72118-5312 |
| Eric C Powell | Certified Registered Nurse Anesthetist (crna) | Nurse Anesthetist Professionals Inc | 5201 Northshore Dr, Ar Surgical Hospital, North Little Rock, AR 72118-5312 |
| Jason R Beck | Diagnostic Radiology | Arkansas Specialty Radiology Pllc | 5201 Northshore Dr, Arkansas Surgical Hospital, N Little Rock, AR 72118-5312 |
| Gary W Villines | Emergency Medicine | General Emergency Physicians Inc | 5201 Northshore Dr, North Little Rock, AR 72118-5312 |
| City | NORTH LITTLE ROCK |
| Zip Code | 72118 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NORTH LITTLE ROCK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Blakely Reeder.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.