Dr. Michael C Blakley JR.
Internist Pediatrician Rheumatology Pediatric Rheumatologist
705 Riley Hospital Dr Rr 307
Indianapolis
, Indiana 46202-5109
Dr. Michael C Blakley JR.
Internist Pediatrician Rheumatology Pediatric Rheumatologist
705 Riley Hospital Dr Rr 307
Indianapolis
, Indiana 46202-5109
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About
Features
Specialties
- Internist
- Rheumatology
- Pediatrician
- Pediatric Rheumatologist
Languages spoken
- English
Location
First Address
- Dr. Michael C Blakley JR.
- 250 N Shadeland Ave
- Indianapolis, IN
- Zip : 46219-4959
- Phone :
Second Address
- Dr. Michael C Blakley JR.
- 705 Riley Hospital Dr Rr 307
- Indianapolis, IN
- Zip : 46202-5109
- Fax : (317) 278-3031
- Phone : (317) 274-2172
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FAQs
Where did Dr. Michael C Blakley JR. attend graduate school?
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Is Dr. Michael C Blakley JR. board certified?
What type of doctor is Dr. Michael C Blakley JR.
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What is Dr. Michael C Blakley JR.’s gender?
Is Dr. Michael C Blakley JR. a sole practitioner?
Is Dr. Michael C Blakley JR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 01060351A | IN |
| N | 111NI0900X | Internist | 01060351A | IN |
| N | 207RR0500X | Rheumatology | 01060351A | IN |
| N | 208000000X | Pediatrician | 01060351A | IN |
| Y | 2080P0216X | Pediatric Rheumatologist | 01060351A | IN |
National Provider Identifier
| NPI | 1184607038 |
|---|---|
| Provider Name | Dr. Michael C Blakley JR. |
| First Address | Indianapolis, IN 46219-4959 |
| Second Address | Indianapolis, IN 46202-5109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/11/2005 |
| Last Update Date | 15/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200903650 | (05) | IN |
| P01339696 | RAILROAD MEDICARE (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.