Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL SCOTT BLAKESLEE, PA-C
DeactivatedMICHAEL SCOTT BLAKESLEE, PA-C is a Physician Assistant healthcare provider located in PROVIDENCE, Rhode Island. NPI 1639676547 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · PROVIDENCE, RI
This NPI has been deactivated.
The record was deactivated on April 9, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639676547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2018 (6.0054794520548 yrs)
- Last Updated
- May 9, 2024
- Deactivated
- Apr 9, 2024
Practice Information
- Address
-
60 VALLEY STREET CLINICA ESPERANZA/HOPE CLINICSUITE 104PROVIDENCE, RI, 02609Browse RI providers · Browse ZIP 02609
- Phone
- 4013479093
- Fax
- 4016336949
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| LYNNE A BISBANO | PA-C | 1245234517 |
| MICHAEL S CREMINS | PHYSICIAN ASSISTANT | 1083611073 |
| NATHAN L BARRINGTON | PA | 1144227992 |
| GRACIETTE DA SILVA | PA-C | 1144221862 |
| KEITH B SUNDERLIN | PAC | 1093707655 |
| ROBYN M OSTAPOW | PA-C | 1104819341 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.