DR. PAUL DONALD BLACKLEDGE D.C.
NPI 1790968956
Chiropractor in Blakely, PA

Q: What is Paul Blackledge's NPI number?

The NPI number for Paul Blackledge is 1790968956. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Q: What is Paul Blackledge's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Blackledge was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 11, 2007Accepts Medicare Assignment

200 MAIN ST, 2ND FLOOR, BLAKELY, PA 18447(570) 383-4963(570) 383-4964 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Paul Donald Blackledge D.c. NPPES

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

DR. PAUL DONALD BLACKLEDGE D.C. (NPI 1790968956) is an individual chiropractor in Blakely, Pennsylvania, licensed in Pennsylvania (DC009663) and active in the NPI registry since December 2007. He is a graduate of New York Chiropractic College (2006).

NPPES Registry Identity

NPI1790968956

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. PAUL DONALD BLACKLEDGECredential: D.C.

Location Address200 MAIN ST, 2ND FLOORBlakely, PA 18447-1241

Mailing AddressPo Box 271Peckville, PA 18452-0271 · (570) 383-4963 · Fax (570) 383-4964

Phone(570) 383-4963

Fax(570) 383-4964

Sole ProprietorNo

Medical School CMSNew York Chiropractic CollegeGraduated 2006

Enumeration DateDecember 11, 2007

Last NPPES UpdateJanuary 13, 2012

✔ NPI 1790968956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in PA · DC009663

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

200 MAIN ST, Blakely, PA 18447

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Donald Blackledge D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365520962

PECOS Enrollment IDI20080423000131

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

338 services53 patients

Other Providers at the Same Location NPPES 4

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

BLACKLEDGE FAMILY CHIROPRACTIC, PC

Chiropractor

200 MAIN ST, 2ND FLOOR
BLAKELY, PA 18447

Lackawanna County (570) 383-4963

MARIE T. RATCHFORD-DEMKOSKY MS, RD, LDN,CDE

Dietitian, Registered

200 MAIN ST, SUITE L4
BLAKELY, PA 18447

Lackawanna County (570) 604-6677

MRS. ROSEMARY TAKACS RN, BS, CDE

Registered Nurse (Diabetes Educator)

200 MAIN ST, SUITE L 4
BLAKELY, PA 18447

Lackawanna County (570) 604-6677

COMMUNITY DIABETES AND NUTRITION SERVICES, LLC

Dietitian, Registered

200 MAIN ST, SUITE L4
BLAKELY, PA 18447

Lackawanna County (570) 604-6677

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 Paul Blackledge's NPI number?

The NPI number for Paul Blackledge is 1790968956. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Where is Paul Blackledge located?

Paul Blackledge practices at 200 Main St 2nd Floor, Blakely, PA 18447. The listed phone number is (570) 383-4963.

What is Paul Blackledge's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Paul Blackledge enrolled in Medicare?

Yes. Paul Blackledge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Paul Blackledge was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.