DR. KEITH M LADNER (NPI# 1578783395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578783395 |
| Entity Type | Individual |
| Full Name | DR. KEITH M LADNER |
| Credential | M.D. |
| Practice Address |
425 S Cherry St Denver CO 80246-1226 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
DR50123 | CO | Allopathic & Osteopathic Physicians |
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
50123 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 149KK | 01 |
| CO | KAISER COMMERCIAL NUMBER | 022360 | 01 |
| CO | 64138224 | 05 | |
| FL | 002232900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 595 Chapel Hills Dr Ste 240, Colorado Springs, CO 809201056 | 7193644120 | 7193644121 |
| Street Address |
425 S CHERRY ST |
| City | DENVER |
| State | CO |
| Zip Code | 80246-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588766 | Stephen C Murray | Dentist | 425 S Cherry St, #700, Denver, CO 80246-1226 | 2005-06-16 |
| 1598161754 | Carly Keller | Occupational Therapist | 425 S Cherry St, Suite #640, Denver, CO 80246-1226 | 2014-11-14 |
| 1407262413 | Cherry Creek Family Practice | Clinic/Center | 425 S Cherry St, Suite 410, Denver, CO 80246-1226 | 2014-07-10 |
| 1225456973 | Ryan Smith | Physical Therapist | 425 S Cherry St, Denver, CO 80246-1226 | 2014-03-31 |
| 1376960716 | Alisha Bauer | Massage Therapist | 425 S Cherry St, 640, Denver, CO 80246-1226 | 2014-03-24 |
| 1528485133 | Stephanie Uszacki | Specialist/Technologist | 425 S Cherry St, Denver, CO 80246-1226 | 2014-03-20 |
| 1821410887 | Brade Small | Massage Therapist | 425 S Cherry St, Suite 640, Denver, CO 80246-1226 | 2014-01-10 |
| 1760804876 | Nicole Wente | Physical Therapist | 425 S Cherry St, Suite 1000, Denver, CO 80246-1226 | 2014-01-08 |
| 1871921569 | Emily E Green | Pharmacist | 425 S Cherry St, Suite 200, Denver, CO 80246-1226 | 2013-10-16 |
| 1265868681 | Angela Marie Taylor | Pharmacist | 425 S Cherry St, Ste 200, Denver, CO 80246-1226 | 2013-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
| 1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
| 1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
| 1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
| Find all providers in zip 80246 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023451176 | Kelly Joy Pettijohn | Otolaryngology | 2045 N Franklin St, Denver, CO 80205 | 2013-04-08 |
| 1457502940 | Khalid Chowdhury Md, PC | Otolaryngology | 1601 E 19th Ave, Suite 3000, Denver, CO 80218-1216 | 2008-10-02 |
| 1407990120 | Phyllis Ann Bergeron | Otolaryngology | 1375 E 19th Ave, Denver, CO 80218-1114 | 2007-02-16 |
| 1295898187 | Ryan Andrew Gaines | Otolaryngology | 2555 S Downing St, Suite #100, Denver, CO 80210-5855 | 2006-12-19 |
| 1659473874 | Paul Harold Dragul | Otolaryngology | 850 E Harvard Ave, Ste #505, Denver, CO 80210-5073 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902069545 | Michele Angelec Streeter | Otolaryngology | 1339 Phay Ave, Canon City, CO 81212-2301 | 2008-07-03 |
| 1174834972 | David Joseph Grindler | Otolaryngology | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2010-06-25 |
| 1952445587 | Lawrence A Gordon | Otolaryngology | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2007-02-16 |
| 1235218009 | Healthone Clinic Services LLC | Otolaryngology | 799 E Hampden Ave, Suite 530, Englewood, CO 80113-2786 | 2006-11-03 |
| 1053490839 | Andrew J Nemechek | Otolaryngology | 701 E Hampden Ave Ste 225, Englewood, CO 80113-2737 | 2006-11-03 |
| 1376560375 | Seth A Reiner, M.d., P.C. | Otolaryngology | 200 W County Line Rd, Suite 330, Highlands Ranch, CO 80129-2360 | 2006-07-16 |
| 1770522302 | Seth Allen Reiner | Otolaryngology | 200 W County Line Rd, Suite 330, Highlands Ranch, CO 80129-2360 | 2006-06-06 |
| 1508805045 | Henry Patrick Carr | Otolaryngology | 10099 Ridgegate Pkwy, Suite 230, Lone Tree, CO 80124-5531 | 2006-06-06 |
| 1285606764 | Frederic White-brown Deleyiannis | Otolaryngology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-02-07 |
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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.