Spencer Justin Blakely, CAA

Anesthesiologist Assistant · Muncie, IN

Individual Active NPI

NPI number 1134082803

Practice location

2401 W University Ave
Muncie, IN 47303-3428
Phone
(765) 747-3111

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NPI record

NPI
1134082803
Entity type
Individual (Type 1)
Enumeration date
December 8, 2025
Last updated
January 6, 2026
Certified
January 6, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X 75000236A IN

About Spencer Blakely

Spencer Justin Blakely, CAA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 2401 W University Ave, Muncie, IN 47303-3428. The NPI number 1134082803 was assigned on December 8, 2025 and the record was last updated on January 6, 2026.

Spencer Blakely lists a license in the registry: #75000236A (IN) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Spencer Justin Blakely, CAA?

The NPI number is 1134082803.

What is the phone number of Spencer Blakely?

The phone number listed for the practice location is (765) 747-3111.

Where is Spencer Blakely located?

2401 W University Ave, Muncie, IN 47303-3428.

What is the taxonomy code for Spencer Blakely?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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