BLAINE R. BLAKESTAD MD – NPI #1881641975
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
BLAINE BLAKESTAD is a physician located in LUFKIN, TX. NPPES has assigned the NPI number 1881641975 to BLAINE BLAKESTAD on May 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was previously updated about 6 years ago on Sep 29, 2020. 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 BLAKESTAD below.
NPI Profile for
BLAINE R. BLAKESTAD
(more than 20 years ago)
LUFKIN, TX 75904-3357 Phone: (936) 639-7696 Fax: (936) 639-7352
LUFKIN, TX 75901-8853 Phone: (936) 639-7861 Fax: (936) 639-7352
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for BLAINE BLAKESTAD
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS | TX | 8F6127 |
| MEDICAID | TX | 214434701 |
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 |
|---|---|---|
| 208D00000X - General Practice (Primary) |
TX | F1391 |
| 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) |
TX | F1391 |
| 2083P0011X - Preventive Medicine / Undersea and Hyperbaric Medicine |
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.
Additional Information
BLAINE BLAKESTAD is affiliated with the following medical group(s):
- HOSPITAL
- CHI ST LUKES HEALTH MEMORIAL LUFKIN1201 WEST FRANK STREET
LUFKIN, TX 75901
- CHI ST LUKES HEALTH MEMORIAL LUFKIN1201 WEST FRANK STREET
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See the complete CMS Data Dissemination Notice here.