DR. JONATHAN EDWARD BLACKER (NPI# 1477697274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477697274 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN EDWARD BLACKER |
| Credential | MD |
| Practice Address |
8000 E Prentice Ave Suite D-12 Greenwood Village CO 80111-2744 |
| Practice Telephone | 3037953443 |
| Practice Fax Number | 3032906317 |
| Mailing Telephone | 3037953443 |
| Mailing Fax Number | 3032906317 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2010-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 27023 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 44176279 | 05 | |
| CO | 01270230 | 05 | |
| GROUP NPI | 1063746972 | 01 |
| Street Address |
8000 E PRENTICE AVE SUITE D-12 |
| City | GREENWOOD VILLAGE |
| State | CO |
| Zip Code | 80111-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740243948 | Deborah Mary Harrington | Acupuncturist | 8000 E Prentice Ave, Suite D-10, Greenwood Village, CO 80111-2744 | 2006-04-10 |
| 1093131229 | Creekside Skin Care, LLC. | Nurse Practitioner | 8000 E Prentice Ave, Suite D-10, Greenwood Village, CO 80111-2744 | 2014-03-12 |
| 1053665695 | Eva Bodoni Dds Professional LLC | Dentist | 8000 E Prentice Ave, Suite B-7, Greenwood Village, CO 80111-2744 | 2012-11-05 |
| 1720335482 | Jane Roseann Anderberg | Physical Therapist | 8000 E Prentice Ave, Suite C1, Greenwood Village, CO 80111-2744 | 2012-08-12 |
| 1336404698 | Beth Roberts Teeters | Marriage & Family Therapist | 8000 E Prentice Ave, Greenwood Village, CO 80111-2744 | 2012-07-11 |
| 1154698512 | Gratia L. Meyer, Phd LLC | Preferred Provider Organization | 8000 E Prentice Ave, Suite B-13, Greenwood Village, CO 80111-2744 | 2011-11-29 |
| 1669759346 | Douglas Bryan | Counselor | 8000 E Prentice Ave, Bldg. B Suite 13, Greenwood Village, CO 80111-2744 | 2011-11-09 |
| 1508146291 | Aaron Lee Johnson | Chiropractor | 8000 E Prentice Ave, A-2, Greenwood Village, CO 80111-2744 | 2011-08-25 |
| 1346529294 | Roots Chiropractic LLC | Chiropractor | 8000 E Prentice Ave, Suite A-2, Greenwood Village, CO 80111-2725 | 2011-08-10 |
| 1760761928 | Portercare Adventist Health System | Otolaryngology | 8000 E Prentice Ave, Ste D12, Greenwood Village, CO 80111-2744 | 2011-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063746972 | Jonathan Blacker Md | Otolaryngology | 8000 E. Prentice Avenue, Suite D-12, Greenwood Village, CO 80111-2744 | 2009-09-24 |
| 1760761928 | Portercare Adventist Health System | Otolaryngology | 8000 E Prentice Ave, Ste D12, Greenwood Village, CO 80111-2744 | 2011-08-05 |
| 1275724932 | Dan Alexandru Sdrulla | Otolaryngology | 7400 E Crestline Cir, Suite 100, Greenwood Village, CO 80111-3652 | 2007-08-07 |
| 1710065446 | Advanced Ear, Nose & Throat, PC | Otolaryngology | 7400 E Crestline Cir, Suite 100, Greenwood Village, CO 80111-3656 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027225 | Barry Berlin | Otolaryngology | 1133 14th St Unit 3800, Denver, CO 80202-2277 | 2020-09-14 |
| 1972112472 | Portercare Adventist Health System | Otolaryngology | 9399 Crown Crest Blvd Ste 401, Parker, CO 80138-8540 | 2020-07-30 |
| 1063048528 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 14100 E Arapahoe Rd Ste 250, Centennial, CO 80112-4028 | 2020-03-17 |
| 1407482144 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 7180 E Orchard Rd Ste 202, Centennial, CO 80111-1726 | 2020-03-13 |
| 1598128266 | Edward J Hepworth Md PC | Otolaryngology | 3150 E 3rd Ave, Denver, CO 80206-5245 | 2016-03-31 |
| 1467829309 | Pikes Peak Ent | Otolaryngology | 9475 Briar Village Pt Ste 225, Colorado Springs, CO 80920 | 2015-08-26 |
| 1811376593 | Lauren Sowa | Otolaryngology | 12631 E 17th Ave # Ms 205, Aurora, CO 80045-2527 | 2015-05-27 |
| 1417343153 | Ralph Talbot Kendall | Otolaryngology | 3502 Pine Tree Sq, Colorado Springs, CO 80909-6436 | 2015-04-09 |
| 1134513351 | Planet T Hormone Replacement Center | Otolaryngology | 2631 W Colorado Ave, Colorado Springs, CO 80904-3024 | 2015-03-25 |
| 1699039156 | Catholic Health Initiatives Colorado | Otolaryngology | 11700 W 2nd Pl Ste 435, Lakewood, CO 80228-1732 | 2012-06-29 |
| Find all providers with the same taxonomy | ||||
| City | GREENWOOD VILLAGE |
| Zip Code | 80111 |
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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.