NPI Details
DR. Marsha Y Blakeslee, M.D., D.O. is an internal medicine in Severna Park, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Marsha Y Blakeslee, M.D., D.O. NPI is 1902925639. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
479 JUMPERS HOLE RD
STE 304-A
SEVERNA PARK, MD
ZIP 21146-600
Phone: (410) 544-0053
Fax: (410) 544-7830
The NPI 1902925639 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 21D0960745 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 3/27/2007 and was last updated on 7/9/2007.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | H44184 | MARYLAND | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 732L581D | MEDICARE ID-TYPE UNSPECIFIED | MARYLAND | MARSHA BLAKESLEE |
| 2 | 000000214001 | OTHER | MARYLAND | PHCS |
| 3 | 00001181183 08 | OTHER | MARYLAND | UNITED HEALTHCARE |
| 4 | 531364 04 | OTHER | MARYLAND | CAREFIRST RENDERING ID |
| 5 | H44184 | OTHER | MARYLAND | STATE LICENSE |
| 6 | 3195 | OTHER | MARYLAND | COVENTRY HEALTHCARE |
| 7 | KJ46BL | OTHER | MARYLAND | CAREFIRST BCBS |
| 8 | F75766 | MEDICARE UPIN | MARYLAND | |
