MICHAEL L. BLAKESLEY MD – NPI #1275614570
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.

MICHAEL BLAKESLEY is a physician located in SOUTH BEND, IN. NPPES has assigned the NPI number 1275614570 to MICHAEL BLAKESLEY on October 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL BLAKESLEY below.

NPI Profile for
MICHAEL L. BLAKESLEY

NPI Number
1275614570
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL L. BLAKESLEY
Credentials
MD
Primary location
615 N MICHIGAN ST
SOUTH BEND, IN 46601-1033
Phone: (574) 647-7459 Fax: (574) 647-3658
Mailing address
328 N MICHIGAN ST
SUITE 200
SOUTH BEND, IN 46601-1244
Phone: (574) 647-1842 Fax: (574) 647-1825
Sole Proprietor
No
Updated
Identifiers

Identifiers for MICHAEL BLAKESLEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEM PIN (ER)IN000000080467
MEDICAIDMI1653001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
IN 01028547A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.