Carol Jean Blackard, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23884 Issued in CO

Practice address

3035 S Parker Rd
Suite 562
Aurora, CO 80014-2926

Phone

(303) 671-6110

Fax

(303) 369-7673

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1841358157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 S GARFIELD WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223513",
            "telephone_number": "303-671-6110",
            "fax_number": "303-369-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 S PARKER RD",
            "address_2": "SUITE 562",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142926",
            "telephone_number": "303-671-6110",
            "fax_number": "303-369-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKARD",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "23884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulina Black
• Randi Black
• River Gilmore Black, MD
• Stephen A Black, MPT, DSC
• Susan Ann Black, MD
• Zailyn Prada Blackburn, MATS
• Nicole Blackford, PHARMD
• Robert Blackham
• Keren Shechter Blackman, MD
• Jacob Blackmer, PA

• General Practice Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.