DR. EDRA BLACKBURN WEISS (NPI# 1609869528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609869528 |
| Entity Type | Individual |
| Full Name | DR. EDRA BLACKBURN WEISS |
| Credential | MD |
| Practice Address |
2020 Wadsworth Blvd Ste 16 Lakewood CO 80214-5730 |
| Practice Telephone | 3032338701 |
| Practice Fax Number | 3032332850 |
| Mailing Telephone | 3032338701 |
| Mailing Fax Number | 3032332850 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2012-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 24410 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01244102 | 05 |
| Street Address |
2020 WADSWORTH BLVD STE 16 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80214-5730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323637 | Brett Wolff | Community/Behavioral Health | 2020 Wadsworth Blvd, Lakewood, CO 80214-5728 | 2017-08-24 |
| 1740730621 | American Transit Express | Non-emergency Medical Transport (VAN) | 2020 Wadsworth Blvd, Unit 15, Lakewood, CO 80214-5728 | 2016-10-04 |
| 1427407766 | Royal Adult Day Center | Voluntary or Charitable | 2020 Wadsworth Blvd, Unit 15, Lakewood, CO 80214-5728 | 2016-06-07 |
| 1578964771 | Lauren Sterner | Nurse Practitioner | 2020 Wadsworth Blvd, Suite Number 16, Lakewood, CO 80214-5728 | 2014-09-08 |
| 1609215094 | Alicia Bourassa Hudson | Pediatrics | 2020 Wadsworth Blvd, # 16, Lakewood, CO 80214-5728 | 2013-06-18 |
| 1366747438 | Jill Barbara Meyer | Nurse Practitioner | 2020 Wadsworth Blvd, Suite 16, Lakewood, CO 80214-5728 | 2011-01-20 |
| 1043515240 | Madeline Louise Nichols | Nurse Practitioner | 2020 Wadsworth Blvd, Suite 16, Lakewood, CO 80214-5728 | 2011-01-19 |
| 1609171271 | Gail Nelson Griffin | Nurse Practitioner | 2020 Wadsworth Blvd, Suite 16, Lakewood, CO 80214-5728 | 2011-01-12 |
| 1629207717 | Kyla Renea Fant | Dentist | 2020 Wadsworth Blvd, Ste 9, Lakewood, CO 80214-5728 | 2009-07-09 |
| 1790944585 | Embrace Kids, A Professional LLC | Dentist | 2020 Wadsworth Blvd, Suite 18a, Lakewood, CO 80214-5728 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376170381 | Kathleen Sibyl Kress Farrell | Pediatrics | 14701 Detroit Ave Ste 250, Lakewood, OH 44107-4109 | 2020-03-27 |
| 1306305842 | Werzberger Pediatrics PC. | Pediatrics | 619 W County Line Rd, Lakewood, NJ 08701-1215 | 2019-03-14 |
| 1851893002 | Kayla Pediatrics, PC | Pediatrics | 1576 Lanes Mill Rd, Lakewood, NJ 08701-3839 | 2018-03-04 |
| 1558897272 | Ngoc Thien Nguyen | Pediatrics | 7424 Bridgeport Way W Ste 103, Lakewood, WA 98499-8137 | 2017-05-02 |
| 1104229285 | Avivit Zurkovsky | Pediatrics | 101 Seond Street, Lakewood, NJ 08701-3324 | 2014-10-02 |
| 1124285788 | Bram Greenberg | Pediatrics | 555 Hope Chapel Rd, Lakewood, NJ 08701-1517 | 2008-05-21 |
| 1841482635 | William R Fenster | Pediatrics | 1201 River Ave, Unit 10, Lakewood, NJ 08701-5676 | 2007-08-15 |
| 1831307800 | Pediatric Practice, Inc | Pediatrics | 14601 Detroit Ave Ste 395, Lakewood, OH 44107-4209 | 2007-05-21 |
| 1710199955 | Bryson V Ahlers | Pediatrics | 6212 75th, Lakewood, WA 98499 | 2007-05-03 |
| 1992847024 | Mukti Rana | Pediatrics | 101 Prospect St Ste 112, Lakewood, NJ 08701-5004 | 2007-02-13 |
| Find all providers in LAKEWOOD | ||||
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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.