Active NPI
Craig Blakeney, M.D.
- Emergency Medicine Physician
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 56383
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Apr 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 30394 | MS | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 73693 | WI | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 67158 | MN | |
| Emergency Medicine Physician | 207P00000X | 56383 | TN | Primary |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100
Other practice location 2
1265 Union Ave
Memphis, TN 38104-3415
Phone (615) 336-3424
Other names 1
- Craig Bleakney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000
Hospital & facility affiliations
- Baptist Memorial Hospital Tipton
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73693 | WI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T M Carr MD PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Ut Regional One Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Carr PLLC | Emergency Medicine | Current | Accepting new patients |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Interoperability endpoints
- cblakeney471374@direct.bmhcc.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
MS, TN
-
- Emergency Medicine Physician
- Brentwood, TN
- NPI 1548677610
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1063808749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
}
],
"practiceLocations": [
{
"address_1": "877 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381032807",
"country_code": "US",
"telephone_number": "901-545-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1265 Union Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381043415",
"country_code": "US",
"telephone_number": "615-336-3424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAKENEY",
"first_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-09",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "30394",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "WI",
"license": "73693",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MN",
"license": "67158",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "56383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRAIG",
"last_name": "BLEAKNEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.