Thomas J Blakely I (NPI# 1154402923, PAC ID# 4688812993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1154402923 |
| PAC ID by PECOS | 4688812993 |
| Professional Enrollment ID | I20130528000715 |
| Full Name | Thomas J Blakely I |
| Address |
5250 Blakely Nedr Belmont MI 49306-9674 |
| Phone Number | 6168746958 |
| Gender | M |
| Graduation Year | 1956 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5250 Blakely Nedr, Belmont, MI 49306-9674 | 6168746958 |
| Street Address |
5250 BLAKELY NEDR |
| City | BELMONT |
| State | MI |
| Zip | 49306-9674 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rose M Ramirez | Family Medicine | Jupiter Family Medicine PC | 6250 Jupiter Ave Ne A, Belmont, MI 49306-8712 |
| Michael J Ahern | Physician Assistant | Jupiter Family Medicine PC | 6250 Jupiter Ave Ne A, Belmont, MI 49306-8712 |
| Catherine H Hallenbeck | Physician Assistant | Jupiter Family Medicine PC | 6250 Jupiter Ave Ne A, Belmont, MI 49306-8712 |
| Steven Robert Mogridge | General Practice | Jupiter Family Medicine PC | 6250 Jupiter Ave Ne A, Belmont, MI 49306-8712 |
| Eric D O'brien | Chiropractic | 2355 Belmont Ctr Dr Ne, 100 Novo Chiropractic, Belmont, MI 49306-8715 | |
| Mandy R Russell | Optometry | 6290 Jupiter Neave A, Belmont, MI 49306-8885 | |
| Phillip Joseph Gaca | Family Medicine | 6265 W River Dr Ne, Suite A, Belmont, MI 49306-9078 | |
| Warren C Hendrickson | Podiatry | 3074 Gold Dust St Ne, Belmont, MI 49306-9510 |
| City | BELMONT |
| Zip Code | 49306 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BELMONT + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Thomas J Blakely I.
| 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.