DR. AMY BLAKE SUSNOW (NPI# 1043246994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043246994 |
| Entity Type | Individual |
| Full Name | DR. AMY BLAKE SUSNOW |
| Other Name | DR. AMY S BLAKE |
| Credential | M.D. |
| Practice Address |
2045 N Franklin St Denver CO 80205-5437 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | (303) 338-4545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2017-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
DR.0058101 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | FE60028232 | WA | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | WI | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 028673 | 01 |
| Street Address |
2045 N FRANKLIN ST |
| City | DENVER |
| State | CO |
| Zip Code | 80205-5437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370773 | Mina S Lee | Urology | 2045 N Franklin St, Denver, CO 80205-5437 | 2005-07-20 |
| 1992306427 | Nicole L Maes | Technician/Technologist | 2045 N Franklin St, Denver, CO 80205-5437 | 2020-11-02 |
| 1881208395 | Matthew Westcomb | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2020-09-02 |
| 1861030678 | Valerie Ann Davis | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-12-12 |
| 1417506338 | Laurel Thorburn | Audiologist | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-09-04 |
| 1164084893 | Deanna Dougherty | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-07-02 |
| 1356905772 | Jason Saulo Hermosillo | Specialist/Technologist, Other | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-05-01 |
| 1114485976 | Marissa E Heebner | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-03-11 |
| 1194282913 | Nicole Hoffman | Registered Nurse | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-02-28 |
| 1114484409 | Daniel Bernard Lockman | Specialist/Technologist, Other | 2045 N Franklin St, Denver, CO 80205-5437 | 2019-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769233 | Abigail Eileen Taylor | Occupational Therapy Assistant | 3241 N York St, Denver, CO 80205 | 2020-01-19 |
| 1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
| 1053966564 | Paul Deutsch | Social Worker | 3836 York St, Denver, CO 80205 | 2019-08-02 |
| 1770062085 | New Health Pain Treatment Centers, LLC | General Practice | 3605 S Teller, Englewood, CO 80205 | 2018-08-08 |
| 1710474374 | Paloma Dental | Dentist | 1225 35th Street, Denver, CO 80205 | 2018-04-19 |
| 1720516677 | Volunteers of America, Colorado Branch | Voluntary or Charitable | 2660 Larimer St., Denver, CO 80205 | 2017-05-23 |
| 1760917637 | Rino Dental | Dentist | 3258 Larimer St, Suite 300, Denver, CO 80205 | 2017-04-27 |
| 1891233193 | Barbara Jordan | Physical Therapist | 13123 East 16th Avenue, Box 295, Denver, CO 80205 | 2017-02-07 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1255887501 | Stephanie W Kwong | Speech-Language Pathologist | 158 S Pacific Avenue, Denver, CO 80205 | 2016-08-28 |
| Find all providers in zip 80205 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245427673 | Reproductive Genetics Center, PC | Medical Genetics | 455 S Hudson St, Level 3, Denver, CO 80246-1479 | 2007-10-01 |
| 1003024274 | Janet Mae Stewart | Medical Genetics | 1056 E 19th Ave, Denver, CO 80218-1007 | 2007-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869297 | University Physicians Incorporated | Medical Genetics | 3301 W 144th Ave Unit 200, Broomfield, CO 80023-9511 | 2018-01-29 |
| 1235428426 | Jessica Bulbin Duis | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2011-03-29 |
| 1659696540 | Austin Alexander Larson | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-04-02 |
| 1497919195 | Aaina Kochhar | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2008-07-11 |
| 1124212006 | Margarita Saenz | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-09-04 |
| 1659571123 | Kathryn Collier Chatfield | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-07-23 |
| 1295946176 | Peter Russell Baker II | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-05-24 |
| 1861600835 | Naomi J.l. Meeks | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-05-21 |
| 1457439713 | Matthew Taylor | Medical Genetics | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-11-02 |
| 1588749220 | Chun-hui Tsai | Medical Genetics | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 | 2006-10-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.