Gail E Blakely (NPI# 1508910233, PAC ID# 7416921952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1508910233 |
| PAC ID by PECOS | 7416921952 |
| Professional Enrollment ID | I20091229000449 |
| Full Name | Gail E Blakely |
| Organization Legal Name | RADADVANTAGE TEXAS, PA |
| Address |
5001 Evidence Cove Spicewood TX 78669-6442 |
| Phone Number | 5122642213 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9032339817 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450107 | LAS PALMAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10301 Gateway W, El Paso, TX 79925-7701 | 9155959000 | RADADVANTAGE TEXAS, PA |
| 10460 Vista Del Sol Dr, Suite 201, El Paso, TX 79925-7939 | 9155959000 | RADADVANTAGE TEXAS, PA |
| 1535 N Resler Dr, El Paso, TX 79912-8002 | 9152311600 | RADADVANTAGE TEXAS, PA |
| 1700 N Oregon St, Suite G40, El Paso, TX 79902-3573 | 9155211180 | RADADVANTAGE TEXAS, PA |
| 1801 N Oregon St, El Paso, TX 79902-3524 | 9155211200 | RADADVANTAGE TEXAS, PA |
| 1951 N Zaragoza Rd, El Paso, TX 79938-7914 | 9152422911 | RADADVANTAGE TEXAS, PA |
| 5001 Evidence Cove, Spicewood, TX 78669-6442 | 5122642213 | RADADVANTAGE TEXAS, PA |
| Organization Legal Name | RADADVANTAGE TEXAS, PA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chukwusomnazu E Nwanze | Diagnostic Radiology | Radadvantage Texas, Pa | 10301 Gateway W, El Paso, TX 79925-7701 |
| Jorge Aguila | Diagnostic Radiology | Radadvantage Texas, Pa | 1801 N Oregon St, El Paso, TX 79902-3524 |
| Sean Yutaka Takeuchi | Diagnostic Radiology | Radadvantage Texas, Pa | 10301 Gateway W, El Paso, TX 79925-7701 |
| Robert L Thompson | Diagnostic Radiology | Radadvantage Texas, Pa | 1801 N Oregon St, El Paso, TX 79902-3524 |
| Thomas N Davis | Diagnostic Radiology | Radadvantage Texas, Pa | 1801 N Oregon St, El Paso, TX 79902-3524 |
| Daniel L Miller | Diagnostic Radiology | Radadvantage Texas, Pa | 5001 Evidence Cove, Spicewood, TX 78669-6442 |
| Amy A Maxwell | Diagnostic Radiology | Radadvantage Texas, Pa | 1801 N Oregon St, El Paso, TX 79902-3524 |
| Scott D Carlsen | Nurse Practitioner | Radadvantage Texas, Pa | 1801 N Oregon St, El Paso, TX 79902-3524 |
| Ira S Kupetz | Diagnostic Radiology | Radadvantage Texas, Pa | 5001 Evidence Cove, Spicewood, TX 78669-6442 |
| Benjamin James Jabara | Diagnostic Radiology | Radadvantage Texas, Pa | 10301 Gateway W, El Paso, TX 79925-7701 |
| Street Address |
5001 EVIDENCE COVE |
| City | SPICEWOOD |
| State | TX |
| Zip | 78669-6442 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel L Miller | Diagnostic Radiology | Radadvantage Texas, Pa | 5001 Evidence Cove, Spicewood, TX 78669-6442 |
| Ira S Kupetz | Diagnostic Radiology | Radadvantage Texas, Pa | 5001 Evidence Cove, Spicewood, TX 78669-6442 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Jane Platt | Physical Therapy | 21122 Hwy 71 W, Spicewood, TX 78669-6120 | |
| Shameem P Azizad | Diagnostic Radiology | Oroville Hospital | 5001 Evidence Cv, Lillian W Cavin Md, Spicewood, TX 78669-6442 |
| Lillian Whitley Cavin | Diagnostic Radiology | Oroville Hospital | 5001 Evidence Cv, Lillian W Cavin Md, Spicewood, TX 78669-6442 |
| City | SPICEWOOD |
| Zip Code | 78669 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SPICEWOOD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Gail E Blakely.
| 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.