Katherine R Blakeley MD PA

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

License

H7905 Issued in TX

Legal business name

KATHERINE R BLAKELEY MD PA

Practice address

7777 Forest LN
Suite a-310
Dallas, TX 75230-2505

Phone

(972) 566-7777

Fax

(972) 566-7958

NPI assigned

Dec 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Katherine R Blakeley, MD

Title

President

Phone

(972) 566-7777

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1326103797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753567629",
            "telephone_number": "972-566-7777",
            "fax_number": "972-566-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE A-310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7777",
            "fax_number": "972-566-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE R BLAKELEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BLAKELEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-566-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "TX",
            "license": "H7905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE PIN",
            "identifier": "00X167",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Miller Inc.
• Kate Tran PA
• Mary Camille Kateb, RN, PNP APRN,BC
• Katherine Day Mitchell, MD, PLLC
• Katherine Pang PHD PC
• Kathia Steel DDS Ms PC
• Kathleen M Bynum, DO, PA
• Manoj Kumar Kathuria, M.D.
• Kathy a. Toler, MD, PA
• Katikaneni S MD PA

• Pediatric Anesthesiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.