Blakeslee and Eichelberger LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D42146 Issued in MD

Legal business name

BLAKESLEE AND EICHELBERGER LLC

Practice address

479 Jumpers Hole Rd
Ste 304a Blakeslee & Eichelberger LLC
Severna Park, MD 21146

Phone

(410) 544-0053

Fax

(410) 544-7830

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marsha Yvonne Blakeslee, DO

Title

President Blakeslee & Eichelberger

Phone

(410) 544-0053

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryrose Eichelberger, M.D.

  • Internal Medicine Physician
  • Millersville, MD
  • NPI 1215152202
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1447336615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 JUMPERS HOLE RD",
            "address_2": "STE 304A BLAKESLEE & EICHELBERGER LLC",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-544-0053",
            "fax_number": "410-544-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 JUMPERS HOLE RD",
            "address_2": "STE 304A BLAKESLEE & EICHELBERGER LLC",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-544-0053",
            "fax_number": "410-544-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKESLEE AND EICHELBERGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "BLAKESLEE",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "PRESIDENT BLAKESLEE & EICHELBERGER",
        "authorized_official_telephone_number": "410-544-0053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H44184",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D42146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "KJ46BL",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATL CAPITAL AREA",
            "identifier": "W285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "KJ46BL",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BFT Vision Inc (Peepers)
• Bandana Bhusal
• Jacqueline Bielski, LGPC
• Andrew Bilodeau
• Birch & Arrow Therapy, L.L.C
• Marsha Y Blakeslee, M.D., D.O.
• Lola Anne Blumenberg I
• Tiawa Boateng
• Perry Todd Bonner, DDS, MS
• Christina Bonzella

• Internal Medicine Physician in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.