Physician Assistant, Medical
SHELLEY BLAKER PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1326293523 · enumerated 2008-12-02 · record updated 2008-12-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 101 E OLNEY AVE, SUITE 400, PHILA, PA, 19120-2421 (215) 456-7000 Fax (215) 254-3289 Google Maps Apple Maps OpenStreetMap
- Practice location 5401 OLD YORK RD, WILLOWCREST BLDG, 4TH FL, PHILA, PA, 19141-3030 (215) 456-3953 Fax (215) 456-5948 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License MA053673 PA
In this directory
Locations and evidence
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Practice location
PHILA, PA, 191413030
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.