Barbara Blakely, CRNA

Individual provider Active NPI Anesthesiology Physician · Clearfield, PA

NPI 1609908896 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609908896
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
RN-298763-L (PA)
Practice address
809 Turnpike Ave
Clearfield, PA 16830-1232
Phone
(814) 339-7101
Fax
(814) 339-6165
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN-298763-LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Anesthesiology Associates Inc. Anesthesiology Past
since Mar 1, 2014
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X RN-298763-L PA Yes

Addresses

Primary practice location

809 Turnpike Ave
Clearfield, PA 16830-1232

Mailing address

PO Box 687
Clearfield, PA 16830-0687
Phone (814) 339-7101

Other providers in Clearfield, PA

All providers in Clearfield, PA · Anesthesiology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.