BLAKELY EMERGENCY GROUP PC
NPI 1467887596
Emergency Medicine in Peckville, PA

Active since September 09, 2013
1400 MAIN ST, PECKVILLE, PA 18452(800) 893-9698 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Emergency Medicine

About BLAKELY EMERGENCY GROUP PC

This page provides the complete NPI Profile along with additional information for Blakely Emergency Group Pc, a provider established in Peckville, Pennsylvania operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1467887596 assigned on September 2013. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Blakely Emergency Group Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sylvan Waller Md (President)

NPI
1467887596 Verify this NPI
Provider Name
BLAKELY EMERGENCY GROUP PC
Entity Type
Organization
Location Address
1400 MAIN ST PECKVILLE, PA 18452
Location Phone
(800) 893-9698
Mailing Address
200 CORPORATE BLVD SUITE 201 LAFAYETTE, LA 70508
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-09-2013
Last Update Date
09-09-2013
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
2363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SYLVAN WALLER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(800) 893-9698

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1400 MAIN ST
PECKVILLE, PA 18452
Medicare Defined Swing Bed Unit
1400 MAIN ST
PECKVILLE, PA 18452
General Acute Care Hospital (Critical Access)
1400 MAIN ST
PECKVILLE, PA 18452
General Acute Care Hospital
1400 MAIN ST
PECKVILLE, PA 18452
Emergency Medicine
1400 MAIN ST
PECKVILLE, PA 18452
Emergency Medicine
1400 MAIN ST
PECKVILLE, PA 18452
Anesthesiology
1400 MAIN ST
PECKVILLE, PA 18452
Dietitian, Registered
1400 MAIN ST, MID VALLEY HOSPITAL
PECKVILLE, PA 18452
Radiology (Diagnostic Radiology)
1400 MAIN ST
PECKVILLE, PA 18452
General Acute Care Hospital (Critical Access)
1400 MAIN ST
PECKVILLE, PA 18452
Medicare Defined Swing Bed Unit
1400 MAIN ST
PECKVILLE, PA 18452
Radiology (Diagnostic Radiology)
1400 MAIN ST
PECKVILLE, PA 18452
Surgery
1400 MAIN ST, MVH PROFESSIONAL SERVICES BLDG
PECKVILLE, PA 18452
Internal Medicine
1400 MAIN ST
PECKVILLE, PA 18452
Family Medicine
1400 MAIN ST
PECKVILLE, PA 18452
Physician Assistant
1400 MAIN ST
PECKVILLE, PA 18452
Internal Medicine
1400 MAIN ST
PECKVILLE, PA 18452
Nurse Practitioner (Family)
1400 MAIN ST
PECKVILLE, PA 18452
Emergency Medicine
1400 MAIN ST
PECKVILLE, PA 18452
Physician Assistant
1400 MAIN ST
PECKVILLE, PA 18452

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467887596, enumerated as an "organization" on September 09, 2013.

The provider is located at 1400 MAIN ST PECKVILLE, PA 18452 and the phone number is (800) 893-9698.

Emergency Medicine with taxonomy code 207P00000X.