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DR. RUSSELL R BLAKELEY M.D.
NPI 1063409639
Internal Medicine - Cardiovascular Disease in Sandpoint, ID

Active since September 29, 2005
606 N THIRD AVE, SUITE 203, SANDPOINT, ID 83864(208) 263-8505(208) 263-2908 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Russell R Blakeley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL R BLAKELEY M.D. (NPI 1063409639) is an individual cardiovascular disease provider in Sandpoint, Idaho, licensed in Tennessee (16299) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1063409639
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. RUSSELL R BLAKELEYCredential: M.D.
Location Address606 N THIRD AVE, SUITE 203Sandpoint, ID 83864-1594
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 652-5250 · Fax (208) 625-5251
Phone(208) 263-8505
Fax(208) 263-2908
Sole ProprietorNo
Enumeration DateSeptember 29, 2005
Last NPPES UpdateJanuary 27, 2016
✔ NPI 1063409639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TN · 16299
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
606 N THIRD AVE, Sandpoint, ID 83864
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Other Identifiers 7

Medicare PIN3859385TN
Medicare PIN103I060787TN
Medicare PINP00841514
Medicare UPIND93197TN
Medicaid3859386TN
Medicare PIN103I066492TN
Medicare PIN60068974

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT RONALD DUNN M.D.
Family Medicine
606 N THIRD AVE, SUITE #101
SANDPOINT, ID 83864
Bonner County (208) 263-1435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Blakeley's NPI number?

The NPI number for Russell Blakeley is 1063409639. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Russell Blakeley located?

Russell Blakeley practices at 606 N Third Ave Suite 203, Sandpoint, ID 83864. The listed phone number is (208) 263-8505.

What is Russell Blakeley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Russell Blakeley was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.