Individual provider · Type 1 NPI

Shem Kearney Blackley Iv, MD

Surgery Physician · Winston Salem, NC

NPI number 1649857202 Active

Practice location

1 Medical Center Blvd
Winston Salem, NC 27157-0001

Call (336) 713-4211 Map

Fax (336) 716-9758

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X2026-02846 (NC)
Surgery Physician 208600000XMD.45368 (AL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1649857202

Shem Kearney Blackley Iv, MD's National Provider Identifier is 1649857202, issued on Mar 28, 2021. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 19, 2026.