DR. BLAKE J HYDE (NPI# 1942595814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942595814 |
| Entity Type | Individual |
| Full Name | DR. BLAKE J HYDE |
| Credential | M.D. |
| Practice Address |
1120 E Elizabeth St Ste F101 Fort Collins CO 80524-4044 |
| Practice Telephone | 3038473188 |
| Mailing Telephone | 3038473188 |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2017-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | DR.0056678 | CO | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 6576 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 48988359 | 05 |
| Street Address |
1120 E ELIZABETH ST STE F101 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-4044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736641 | Richard Wilson Lindeberg | Dentist | 1120 E Elizabeth St, Fort Collins, CO 80524-4044 | 2005-11-03 |
| 1144607540 | Melissa Marie Headley | Audiologist | 1120 E Elizabeth St, Ste F101, Fort Collins, CO 80524-4044 | 2015-05-05 |
| 1871814236 | Emily K Stevens | Dermatology | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2010-06-18 |
| 1326232588 | Aaron Thomas Mcgrew | Physician Assistant | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2007-08-30 |
| 1831239094 | Andrew H Kalajian | Dermatology | 1120 E Elizabeth St, Building G, Suite 2, Fort Collins, CO 80524-4044 | 2007-02-07 |
| 1780690487 | Bret Baack | Dermatology | 1120 E Elizabeth St, G-2, Fort Collins, CO 80524-4044 | 2006-08-01 |
| 1104856061 | Brad Robin Baack | Dermatology | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2006-07-04 |
| 1104856079 | Tiffany Alaire Serell | Physician Assistant | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2006-07-04 |
| 1316977374 | Clinton Paul Sayers | Dermatology | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2006-07-04 |
| 1861421109 | Rachel Condon White | Audiologist | 1120 E Elizabeth St, F-101, Fort Collins, CO 80524-4044 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| 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 |
|---|---|---|---|---|
| 1427347889 | Suzanne Lynn Bertram | Otolaryngology | 2001 S Shields St #e101, Fort Collins, CO 80526-1872 | 2011-04-06 |
| 1417119991 | Stephen Michael Wold | Otolaryngology | 1120 E Elizabeth St Ste F101, Fort Collins, CO 80524-4044 | 2008-06-26 |
| 1609067941 | Brad C Runyan Md PC | Otolaryngology | 2121 E Harmony Rd Unit 350, Fort Collins, CO 80528-3404 | 2007-08-01 |
| 1003889353 | Mark C Loury | Otolaryngology | 2001 S Shields St Ste E101, Fort Collins, CO 80526-1872 | 2006-02-08 |
| 1881011914 | Nicholas A Quinn | Otolaryngology | 1120 E Elizabeth St Ste F101, Fort Collins, CO 80524-4044 | 2014-03-26 |
| 1194067819 | Thomas Alexander Mcknight | Otolaryngology | 1120 E Elizabeth St Ste F101, Fort Collins, CO 80524-4044 | 2013-03-20 |
| 1831234632 | Robert Marion Conlon IIi | Otolaryngology | 1032 Luke St, Fort Collins, CO 80524-4037 | 2007-02-20 |
| 1235274036 | Ent Clinic P.C. | Otolaryngology | 1032 Luke St, Fort Collins, CO 80524-4037 | 2007-02-20 |
| 1497765812 | William Sean Conlon | Otolaryngology | 1032 Luke St, Fort Collins, CO 80524-4037 | 2006-08-08 |
| 1245208214 | Matthew Lee Robertson | Otolaryngology | 1120 E Elizabeth St, #f-101, Fort Collins, CO 80524-4044 | 2006-03-08 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
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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.