BLAKELY EMERGENCY GROUP PC (NPI# 1467887596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467887596 |
| Entity Type | Organization |
| Organization Name | BLAKELY EMERGENCY GROUP PC |
| Practice Address |
1400 Main St Peckville PA 18452-2009 |
| Mailing Address |
200 Corporate Blvd Suite 201 Lafayette LA 70508-3870 |
| Practice Telephone | 8008939698 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |
| Authorized Official Name | SYLVAN WALLER (PRESIDENT) |
| Authorized Official Telephone | 8008939698 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1400 MAIN ST |
| City | PECKVILLE |
| State | PA |
| Zip Code | 18452-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295193878 | Rebecca Ropoch | Nurse Practitioner | 1400 Main St, Peckville, PA 18452-2078 | 2016-02-10 |
| 1346519386 | Peckville Hospital Company LLC | Medicare Defined Swing Bed Unit | 1400 Main St, Peckville, PA 18452-2009 | 2011-12-20 |
| 1639447543 | Peckville Hospital Company LLC | General Acute Care Hospital | 1400 Main St, Peckville, PA 18452-2009 | 2011-12-06 |
| 1255654539 | Nathan Andrew Greczek | Family Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2010-03-01 |
| 1104042043 | Joanne Ryczak | Dietitian, Registered | 1400 Main St, Mid Valley Hospital, Peckville, PA 18452 | 2007-04-18 |
| 1417078320 | Northern Bariatric Surgery Institute, Inc. | Surgery | 1400 Main St, Mvh Professional Services Bldg, Peckville, PA 18452-2009 | 2007-04-02 |
| 1033123393 | Joseph Charles Seprosky Jr. | Emergency Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2006-07-29 |
| 1821011222 | Mid Valley Hospital Assoc | Anesthesiology | 1400 Main St, Peckville, PA 18452-2009 | 2006-07-26 |
| 1700828134 | Epmg of Pennsylvania, P.C. | Emergency Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2006-06-11 |
| 1497707079 | Robert Lee Hill | Emergency Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275718363 | Eugene Marchegiani Jr. | Chiropractor | 440 Keystone Ave, Peckville, PA 18452 | 2008-01-08 |
| 1598745499 | Anthony William Freda | Internal Medicine | 320 Keystone Ave, Peckville, PA 18452 | 2006-01-18 |
| 1396140505 | William John Antognoli | Pathology | 613 Main Street, Peckville, PA 18452 | 2014-10-30 |
| 1083714331 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 1425 Main Street, Peckville, PA 18452 | 2006-09-25 |
| 1457463275 | Cynthia G Charnetski | Optometrist | 1582 Main St, Peckville, PA 18452 | 2006-08-31 |
| 1417963844 | Angela Michelle Plominski | Specialist/Technologist | 1333 Main St, Peckville, PA 18452 | 2006-07-31 |
| 1689913196 | Keystone Independent Living | Custodial Care Facility | 202 Boulevard Ave, Peckville, PA 18452-1002 | 2013-02-04 |
| 1396253183 | Tom Horeis | Pharmacist | 3 Circle Dr, Peckville, PA 18452-1003 | 2018-01-16 |
| 1609473206 | Maura Christine Merli | Nurse Practitioner | 106 Hospital St, Peckville, PA 18452-1108 | 2020-10-06 |
| 1770988693 | Christina Lukowski | Registered Nurse | 754 Crystal St, Peckville, PA 18452-1214 | 2014-11-04 |
| Find all providers in zip 18452 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033123393 | Joseph Charles Seprosky Jr. | Emergency Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2006-07-29 |
| 1700828134 | Epmg of Pennsylvania, P.C. | Emergency Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2006-06-11 |
| 1497707079 | Robert Lee Hill | Emergency Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2006-05-16 |
| 1184675274 | John A Consalvo | Emergency Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2006-05-13 |
| 1063498228 | Kwangsup K Sheen | Emergency Medicine | 1400 Main St, Peckville, PA 18452-2009 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324798 | Raymond Joseph Roberge | Emergency Medicine | 5909 Hampton St, Pittsburgh, PA 15206-1617 | 2020-10-23 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1437716313 | Syndikos Investments LLC | Emergency Medicine | 127 E Cunningham St Ste 102, Butler, PA 16001-5936 | 2019-05-25 |
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1720545320 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Clover Dr, Saint Clair, PA 17970-2200 | 2019-03-01 |
| 1780149963 | St. Luke's Hospital | Emergency Medicine | 2550 Route 100 Ste 110, Macungie, PA 18062-9652 | 2019-02-01 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 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.