Jonathan Blacker MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

27023 Issued in CO

Legal business name

JONATHAN BLACKER MD

Practice address

8000 E. Prentice Avenue
Suite D-12
Greenwood Village, CO 80111-2744

Phone

(303) 795-3443

Fax

(303) 290-6317

NPI assigned

Sep 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jonathan E Blacker, M.D.NPI 1477697274

Title

Owner

Phone

(303) 795-3443

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Edward Blacker, MD

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1477697274
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1063746972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 E. PRENTICE AVENUE",
            "address_2": "SUITE D-12",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112744",
            "telephone_number": "303-795-3443",
            "fax_number": "303-290-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E. PRENTICE AVENUE",
            "address_2": "SUITE D-12",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112744",
            "telephone_number": "303-795-3443",
            "fax_number": "303-290-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN BLACKER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "BLACKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-795-3443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "27023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01270230",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew David Johnson, MD
• Paige Johnson
• Randall E Johnson, AA-C
• Rebecca Ann Johnson, ACNPC-AG
• Taylor Johnson, RN
• Jennifer Jonell, MA
• Camtu L Jones, M.D.
• Jennifer Lynn Jones
• Robert Carter Jones, MD
• Stella Ashleigh Jones, MPAS, PA-C

• Otolaryngology Physician in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.