BLAINE RANDALL BLAKESTAD MD PA – NPI #1124346598
Preventive Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Health Care Provider Taxonomy Code for Preventive Medicine

BLAINE RANDALL BLAKESTAD MD PA is a provider located in LUFKIN, TX. NPPES has assigned the NPI number 1124346598 to BLAINE RANDALL BLAKESTAD MD PA on May 11, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2083P0011X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Undersea and Hyperbaric Medicine

The NPI profile was previously updated about 16 years ago on Sep 09, 2010. 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 BLAINE RANDALL BLAKESTAD MD PA below.

NPI Profile for
BLAINE RANDALL BLAKESTAD MD PA

NPI Number
1124346598
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLAINE RANDALL BLAKESTAD MD PA
Primary location
1201 W FRANK AVE
LUFKIN, TX 75904-3357
Phone: (936) 634-8111 Fax:
Mailing address
702 BRENTWOOD DR
LUFKIN, TX 75901-8853
Phone: (936) 632-5894 Fax:
Organization Subpart
No
Authorized Official
BLAINE BLAKESTAD
PRESIDENT
Phone: (936) 632-5894
Updated
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
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine (Primary)		 TX F1391

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.