JONATHAN BLACKER MD
NPI 1063746972
Otolaryngology in Greenwood Village, CO

Active since September 24, 2009
8000 E. PRENTICE AVENUE, SUITE D-12, GREENWOOD VILLAGE, CO 80111(303) 795-3443(303) 290-6317 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Otolaryngology

About JONATHAN BLACKER MD

This page provides the complete NPI Profile along with additional information for Jonathan Blacker Md, a provider established in Greenwood Village, Colorado operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1063746972 assigned on September 2009. The practitioner's primary taxonomy code is 207Y00000X with license number 27023 (CO). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jonathan E Blacker M.d. (Owner)

NPI
1063746972 Verify this NPI
Provider Name
JONATHAN BLACKER MD
Entity Type
Organization
Location Address
8000 E. PRENTICE AVENUE SUITE D-12 GREENWOOD VILLAGE, CO 80111
Location Phone
(303) 795-3443
Location Fax
(303) 290-6317
Mailing Address
8000 E. PRENTICE AVENUE SUITE D-12 GREENWOOD VILLAGE, CO 80111
Mailing Phone
(303) 795-3443
Mailing Fax
(303) 290-6317
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2009
Last Update Date
07-21-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
27023
License State
CO
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JONATHAN E BLACKER M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(303) 795-3443

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01270230MEDICAID (05)CO 
F33656MEDICARE UPIN (02) 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063746972, enumerated as an "organization" on September 24, 2009.

The provider is located at 8000 E. PRENTICE AVENUE SUITE D-12 GREENWOOD VILLAGE, CO 80111 and the phone number is (303) 795-3443.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.