Active NPI
John Paul Blakely PA
- Anesthesiology Physician
- Amarillo, TX
National Provider Identifier
1700068434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 02003031A
- Legal business name
- JOHN PAUL BLAKELY PA
- Practice address
- 6819 Plum Creek Dr
Amarillo, TX 79124-1602 - Phone
- (806) 351-1560
- Fax
- (806) 351-0343
- NPI assigned
- Dec 5, 2007
- Last updated
- Dec 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Paul Blakely, D. O.
- Title
- President
- Phone
- (806) 241-8869
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 02003031A | TX | Primary |
Addresses
Primary practice location
6819 Plum Creek Dr
Amarillo, TX 79124-1602
Mailing address
PO Box 50360
Amarillo, TX 79159-0360
Phone (806) 351-1560
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197936000000",
"number": "1700068434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50360",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791590360",
"telephone_number": "806-351-1560",
"fax_number": "806-351-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6819 PLUM CREEK DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791241602",
"telephone_number": "806-351-1560",
"fax_number": "806-351-0343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN PAUL BLAKELY PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-18",
"status": "A",
"authorized_official_last_name": "BLAKELY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "806-241-8869",
"authorized_official_credential": "D. O."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "02003031A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.