1. Home
  2. Directory
  3. Pennsylvania
  4. Peckville
  5. Emergency Medicine
  6. NPI Profile

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: August 16, 2026.

About Blakely Emergency Group Pc NPPES

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

BLAKELY EMERGENCY GROUP PC (NPI 1467887596) is a healthcare organization registered as an emergency medicine in Peckville, Pennsylvania and active in the NPI registry since September 2013. The organization lists Sylvan Waller, President, as its authorized official.

NPPES Registry Identity

NPI1467887596
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameBLAKELY EMERGENCY GROUP PC
Location Address1400 MAIN STPeckville, PA 18452-2009
Mailing Address200 Corporate Blvd, Suite 201Lafayette, LA 70508-3870
Phone(800) 893-9698
Organization SubpartNo
Authorized OfficialSylvan WallerPresident · (800) 893-9698
Enumeration DateSeptember 9, 2013
✔ NPI 1467887596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
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.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1400 MAIN ST, Peckville, PA 18452
Open in Google Maps ↗

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.

ESB RADIOLOGY, PC
Radiology (Diagnostic Radiology)
1400 MAIN ST
PECKVILLE, PA 18452
Lackawanna County (570) 383-5671
DR. KWANGSUP K SHEEN MD
Emergency Medicine
1400 MAIN ST
PECKVILLE, PA 18452
Lackawanna County (570) 383-5511
MID VALLEY HOSPITAL ASSOC
General Acute Care Hospital (Critical Access)
1400 MAIN ST
PECKVILLE, PA 18452
Lackawanna County (570) 340-2983
JOANNE RYCZAK RD CDE LDN
Dietitian, Registered
1400 MAIN ST, MID VALLEY HOSPITAL
PECKVILLE, PA 18452
Lackawanna County (570) 383-5622
DR. RAJAN MULLOTH MD
Internal Medicine
1400 MAIN ST
PECKVILLE, PA 18452
Lackawanna County (570) 383-0236
JOHN A CONSALVO M.D.
Emergency Medicine
1400 MAIN ST
PECKVILLE, PA 18452
Lackawanna County (570) 489-7546
EMILY ELIZABETH BYERS PA-C
Physician Assistant
1400 MAIN ST
PECKVILLE, PA 18452
Lackawanna County (570) 291-7242
DR. NATHAN ANDREW GRECZEK D.O.
Family Medicine
1400 MAIN ST
PECKVILLE, PA 18452
Lackawanna County (570) 383-0236

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 Blakely Emergency Group PC's NPI number?

The NPI number for Blakely Emergency Group PC is 1467887596. It was assigned to this organization in the NPPES registry on September 9, 2013.

Where is Blakely Emergency Group PC located?

Blakely Emergency Group PC is located at 1400 Main St, Peckville, PA 18452. The listed phone number is (800) 893-9698.

What is Blakely Emergency Group PC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Blakely Emergency Group PC was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.