Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blakely Emergency Group PC

Organization Emergency Medicine Physician · NPI 1467887596

Blakely Emergency Group PC is an Emergency Medicine Physician in Peckville, Pennsylvania. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 Main St
Peckville, PA 18452-2009
Phone: (800) 893-9698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1467887596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sylvan Waller — President · (800) 893-9698
NPI enumeratedSeptember 9, 2013
Last updated in NPPESSeptember 9, 2013
Mailing address200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870

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