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ETHAN WADE BLACKBURN MD NPI 1538387360


NPI Information

NPI: 1538387360
Provider Name: ETHAN WADE BLACKBURN, MD
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Individual

Specialization: Hand Surgery

PECOS Registration: Yes

Address:
315 E BROADWAY STE 195
LOUISVILLE, KY
ZIP 40202
Phone: (502) 629-4263
Get Directions

Ethan Wade Blackburn, MD is a hand surgery orthopaedic surgery in Louisville, KY with 17 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Ethan Wade Blackburn, MD NPI is 1538387360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

315 E BROADWAY STE 195
LOUISVILLE, KY
ZIP 40202-700
Phone: (502) 629-4263
Fax: (502) 629-4282

The NPI 1538387360 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • Incision of tendon covering (HCPCS:26055)

The enumeration date for this NPI number is 4/24/2007 and was last updated on 1/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery01071401BINDIANANo
2207X00000XOrthopaedic Surgery45826KENTUCKYNo
3207XS0106XOrthopaedic SurgeryHand Surgery45826KENTUCKYYes
4390200000XStudent in an Organized Health Care Education/Training ProgramNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1149325OTHERKENTUCKYSIHO
250052189OTHERKENTUCKYPASSPORT
37100250140MEDICAIDKENTUCKY
4000000833108OTHERKENTUCKYANTHEM - LAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.