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AARON VANCE BLACKLEDGE M.D. NPI 1427092089


NPI Information

NPI: 1427092089
Provider Name: AARON VANCE BLACKLEDGE, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
ROHNERT PARK HEALTHCARE CENTER
1450 MEDICAL CENTER DRIVE
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 584-0672
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Aaron Vance Blackledge, M.D. is an emergency medicine in Rohnert Park, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Aaron Vance Blackledge, M.D. NPI is 1427092089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

ROHNERT PARK HEALTHCARE CENTER
1450 MEDICAL CENTER DRIVE
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 584-0672

The enumeration date for this NPI number is 6/15/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineA80152CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I109712MEDICARE UPINCALIFORNIA
200A801522MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.