CHARLES A. BLAKELY M.D. – NPI #1427119502
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.

CHARLES BLAKELY is a physician located in FORT DEFIANCE, AZ. NPPES has assigned the NPI number 1427119502 to CHARLES BLAKELY on December 13, 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 CHARLES BLAKELY below.

NPI Profile for
CHARLES A. BLAKELY

NPI Number
1427119502
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES A. BLAKELY
Credentials
M.D.
Primary location
FORT DEFIANCE INDIAN HOSPITAL
CORNER ROUTE N7 AND N12
FORT DEFIANCE, AZ 86504
Phone: (928) 729-8600 Fax:
Mailing address
3437 CALLE SUENOS SE
RIO RANCHO, NM 87124-6712
Phone: (505) 896-4093 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for CHARLES BLAKELY

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
OTHERAHCCCSAZ638679
OTHERNM MEDNM000R4843
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)
CO 22395

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.