Individual provider · Type 1 NPI

Spencer Justin Blakely, CAA

Anesthesiologist Assistant · Muncie, IN

NPI number 1134082803 Active

Practice location

2401 W University Ave
Muncie, IN 47303-3428

Call (765) 747-3111 Map

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant Primary 367H00000X75000236A (IN)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1134082803

Spencer Justin Blakely, CAA's National Provider Identifier is 1134082803, issued on Dec 8, 2025. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Muncie, IN. The record was last updated on Jan 6, 2026.