ELIZA DAVIS BLANCHETTE (NPI# 1063772929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063772929 |
| Entity Type | Individual |
| Full Name | ELIZA DAVIS BLANCHETTE |
| Other Name | ELIZA KATHERINE DAVIS |
| Credential | M.D. |
| Practice Address |
13123 E 16th Ave # 328 Aurora CO 80045-7106 |
| Practice Telephone | 7207777878 |
| Practice Fax Number | 7207774592 |
| Mailing Telephone | 7207777878 |
| Mailing Fax Number | 7207777200 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 62110-20 | WI | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
62110-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
DR.0062640 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
13123 E 16TH AVE # 328 |
| City | AURORA |
| State | CO |
| Zip Code | 80045-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154578060 | Margret E Bock | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2008-08-21 |
| 1841470572 | Melisha G Hanna | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-11-09 |
| 1982725289 | Danielle Elise Soranno | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-04-03 |
| 1649308529 | Gary M. Lum | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-03-01 |
| 1477638112 | Melissa Cadnapaphornchai | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-25 |
| 1568547297 | Douglas Ford | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-25 |
| 1083657068 | Bradley P. Dixon | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720293251 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 2055 N High St Ste 110, Denver, CO 80205-5504 | 2007-05-10 |
| 1770740797 | Jessica F Curley | Pediatrics | 2055 High Street, Ste 330, Denver, CO 80205-5504 | 2008-05-19 |
| 1699851394 | Ian Gerald Dresner | Pediatrics | 1905 Blake Ave, #201, Glenwood Springs, CO 81601-4288 | 2006-10-27 |
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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.