Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1639676547 Deactivated / Inactive NPI Male Practitioner

Michael Scott Blakeslee , PA-C

Physician Assistant • Providence, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Blakeslee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 07, 2018
NPI Deactivation Date April 09, 2024
Total Practice Duration ~6 Years of Practice (2018 – 2024)

Professional Overview & Biography Verified Profile Summary

Michael Blakeslee, PA-C was a registered Physician Assistant practicing in Providence, RI. Throughout an active medical career spanning 6 years, Michael Blakeslee provided care at the practice location at 60 VALLEY STREET CLINICA ESPERANZA/HOPE CLINIC until profile deactivation on 2024-04-09.

Practice Location & Contact Primary Location

Practice Address

60 Valley Street Clinica Esperanza/hope Clinic
Suite 104

Providence, RI 02609

Telephone 4013479093
Fax 4016336949

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
267 Specialists

Practicing in Providence, RI (687 Statewide)

Telehealth Adoption Rate
16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Valerie Almeida Monroe , NP

Nurse Practitioner - Adult Health

NPI 1275159501

Nurse Practitioner

Alondra Soto-Calzado , LCSW

Social Worker - Clinical

NPI 1730046574

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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Updated Practice Location May 09, 2024

Registered at 60 VALLEY STREET CLINICA ESPERANZA/HOPE CLINIC, SUITE 104, PROVIDENCE, RI 02609 (Tel: 4013479093)

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Updated Business Mailing Address May 09, 2024

Registered at 60 VALLEY STREET CLINICA ESPERANZA/HOPE CLINIC, SUITE 104, PROVIDENCE, RI 02609 (Tel: 4013479093)

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NPI Profile Reactivated May 08, 2024

Record officially reactivated for active practice on May 08, 2024

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NPI Profile Deactivated April 09, 2024

Record deactivated on April 09, 2024

NPI Profile Active April 07, 2018

NPI status registered as active in NPPES database

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Updated Practice Location April 07, 2018

Registered at 4392 LIVE OAK BLVD, PALM HARBOR, FL 346854021 (Tel: 9102618108)

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Updated Business Mailing Address April 07, 2018

Registered at 4392 LIVE OAK BLVD, PALM HARBOR, FL 346854021 (Tel: 9102618108)

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Provider Name / Credentials Updated April 07, 2018

Recorded as MICHAEL BLAKESLEE, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2018

Physician Assistant

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Initial NPI Registration & Enumeration April 07, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639676547
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2018
Last Update: May 09, 2024
Deactivation Date: April 09, 2024
Sole Proprietor: No

Mailing Address

60 Valley Street Clinica Esperanza/hope Clinic, Suite 104

Providence, RI 02609

Phone: 4013479093

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.