BLAKE VINCENT CONKLIN (NPI# 1124255245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124255245 |
| Entity Type | Individual |
| Full Name | BLAKE VINCENT CONKLIN |
| Credential | DO |
| Practice Address |
330 Arkansas St Suite 202 Lawrence KS 66044-1335 |
| Practice Telephone | 7855052200 |
| Practice Fax Number | 7855055237 |
| Mailing Telephone | 7855052200 |
| Mailing Fax Number | 7855055237 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2016-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0538349 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
330 ARKANSAS ST SUITE 202 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083683973 | Sharon E. Soule | Internal Medicine | 330 Arkansas St, Suite 105, Lawrence, KS 66044-1335 | 2006-03-14 |
| 1497298871 | Sara Owen | Nurse Practitioner | 330 Arkansas St, Suite 300, Lawrence, KS 66044-1335 | 2016-12-02 |
| 1700338233 | Lawrence Physicians LLC | Urology | 330 Arkansas St, Suite 205, Lawrence, KS 66044-1335 | 2016-11-01 |
| 1922456151 | Lawrence Physicians LLC | Neurological Surgery | 330 Arkansas St, Suite 200, Lawrence, KS 66044-1335 | 2016-05-27 |
| 1972910123 | Lawrence Physicians LLC | Psychiatry & Neurology | 330 Arkansas St, Suite 200, Lawrence, KS 66044-1335 | 2014-07-21 |
| 1356758502 | Lawrence Physicians LLC | Surgery | 330 Arkansas St, Suite 202, Lawrence, KS 66044-1335 | 2014-07-21 |
| 1962819102 | Lawrence Physicians LLC | Internal Medicine | 330 Arkansas St, Suite 105, Lawrence, KS 66044-1335 | 2014-07-21 |
| 1063829216 | Lawrence Physicians LLC | Obstetrics & Gynecology | 330 Arkansas St, Suite 300, Lawrence, KS 66044-1335 | 2014-07-21 |
| 1952718173 | Lawrence Physicians LLC | Internal Medicine | 330 Arkansas St, Suite 215, Lawrence, KS 66044-1335 | 2014-07-21 |
| 1730503582 | Emily Renea Fox | Registered Nurse | 330 Arkansas St, Suite 300, Lawrence, KS 66044-1335 | 2014-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275795312 | Noel H. Kleppel | Surgery | 85 Merrall Dr, Lawrence, NY 11559-1518 | 2008-06-30 |
| 1962526764 | Muto Thoracic Clinic Incorporated | Surgery | 100 Amesbury Street, Suite 113, Lawrence, MA 01840 | 2007-03-19 |
| 1336245604 | Moo Young Jun | Surgery | 135 Rockaway Turnpike, Lawrence, NY 11559 | 2006-09-15 |
| 1871540195 | Ralph Han Park | Surgery | 330 Arkansas St Ste 202, Lawrence, KS 66044-1394 | 2006-05-30 |
| 1568460483 | Jonathan K Gordon | Surgery | 100 Amesbury St, Suite 113, Lawrence, MA 01840-1321 | 2005-07-13 |
| 1861499287 | Stephen W Myrick | Surgery | 1112 W 6th St Ste 109, Lawrence, KS 66044-2249 | 2005-06-30 |
| 1477550804 | Dale Patrick Denning | Surgery | 1112 W 6th St Ste 210, Lawrence, KS 66044-2249 | 2005-06-30 |
| 1790781375 | Neysa I Valentin-capeles | Surgery | 275 Rockaway Tpke, Lawrence, NY 11559 | 2005-06-28 |
| 1528603719 | Lawrence Physicians LLC | Surgery | 6265 Rock Chalk Dr, Suite 2400, Lawrence, KS 66049 | 2019-11-12 |
| 1356758502 | Lawrence Physicians LLC | Surgery | 330 Arkansas St, Suite 202, Lawrence, KS 66044-1335 | 2014-07-21 |
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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.