BLAINE RANDALL BLAKESTAD MD PA
NPI 1124346598
Preventive Medicine - Undersea and Hyperbaric Medicine in Lufkin, TX

Active since May 11, 2010
1201 W FRANK AVE, LUFKIN, TX 75904(936) 634-8111 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blaine Randall Blakestad Md Pa NPPES

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

BLAINE RANDALL BLAKESTAD MD PA (NPI 1124346598) is a healthcare organization registered as an undersea and hyperbaric medicine in Lufkin, Texas and active in the NPI registry since May 2010. The organization lists Blaine Randall Blakestad, President, as its authorized official.

NPPES Registry Identity

NPI1124346598
Entity TypeOrganization
Primary Taxonomy2083P0011X
Legal Business NameBLAINE RANDALL BLAKESTAD MD PA
Location Address1201 W FRANK AVELufkin, TX 75904-3357
Mailing Address702 Brentwood DrLufkin, TX 75901-8853 · (936) 632-5894
Organization SubpartNo
Authorized OfficialBlaine Randall BlakestadPresident · (936) 632-5894
Enumeration DateMay 11, 2010
Last NPPES UpdateSeptember 9, 2010
NPI 1124346598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0011X
License Licensed in TX · F1391
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
1201 W FRANK AVE, Lufkin, TX 75904

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1201 W FRANK AVE
LUFKIN, TX 75904
Radiology (Diagnostic Radiology)
1201 W FRANK AVE
LUFKIN, TX 75904
Registered Nurse (Maternal Newborn)
1201 W FRANK AVE
LUFKIN, TX 75904
Nurse Anesthetist, Certified Registered
1201 W FRANK AVE
LUFKIN, TX 75904
Clinic/Center (Medical Specialty)
1201 W FRANK AVE
LUFKIN, TX 75904
Radiology (Therapeutic Radiology)
1201 W FRANK AVE
LUFKIN, TX 75904
Pain Medicine (Interventional Pain Medicine)
1201 W FRANK AVE, ANESTHESIA DEPARTMENT
LUFKIN, TX 75904
Physician Assistant
1201 W FRANK AVE
LUFKIN, TX 75904

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 Blaine Randall Blakestad MD PA's NPI number?

The NPI number for Blaine Randall Blakestad MD PA is 1124346598. It was assigned to this organization in the NPPES registry on May 11, 2010.

Where is Blaine Randall Blakestad MD PA located?

Blaine Randall Blakestad MD PA is located at 1201 W Frank Ave, Lufkin, TX 75904. The listed phone number is (936) 634-8111.

What is Blaine Randall Blakestad MD PA's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

When was this NPI record last updated?

The NPPES record for Blaine Randall Blakestad MD PA was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.