Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Scott Blakeslee, PA-C

Individual provider Physician Assistant · NPI 1639676547

Michael Scott Blakeslee, PA-C is a Physician Assistant in Providence, Rhode Island. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

60 Valley Street Clinica Esperanza/hope Clinic Ste 104
Providence, RI 02609
Phone: (401) 347-9093
Fax: (401) 633-6949

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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1639676547
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 7, 2018
Last updated in NPPESMay 9, 2024
Mailing address60 Valley Street Clinica Esperanza/Hope Clinic, Suite 104, Providence, RI 02609

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