KENNETH D BLAKE (NPI# 1174622070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174622070 |
| Entity Type | Individual |
| Full Name | KENNETH D BLAKE |
| Credential | MD |
| Practice Address |
10103 Ridgegate Pkwy Suite 208 Lone Tree CO 80124-5520 |
| Mailing Address |
3333 S Bannock St Suite 350 Englewood CO 80110-2432 |
| Practice Telephone | 3035355350 |
| Practice Fax Number | 3035355353 |
| Mailing Telephone | 3039571310 |
| Mailing Fax Number | 3037614252 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2017-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 41202 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04305876 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013933589 | Kenneth Blake | Chiropractor | 39000 Bob Hope Drive Probst 315, Rancho Mirage, CA 92270-3221 | 2006-07-15 |
| 1851818389 | Kenneth J Blake | Driver | 7115 North Ave # 317, Oak Park, IL 60302-1002 | 2017-08-25 |
| 1215222393 | Kenneth Blake | Behavioral Analyst | 2470 Wrondel Way, Suite 150b, Reno, NV 89502-3701 | 2011-06-16 |
| 1346396264 | Kenneth Erwin Blake | Dentist | 3400 Sw 187th Ave, Suite 2, Aloha, OR 97006-3131 | 2007-01-25 |
| 1851444012 | Kenneth Aaron Blake | Counselor | 2600 W 9th St, 4th Flr, Chester, PA 19013-2040 | 2007-01-19 |
| Street Address |
10103 RIDGEGATE PKWY SUITE 208 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184624066 | Raef Hajjali | Internal Medicine | 10103 Ridgegate Pkwy, Suite 103, Lone Tree, CO 80124-5520 | 2005-07-21 |
| 1073137147 | Meridian Iom | Technician, Other | 10103 Ridgegate Pkwy, Lone Tree, CO 80124-5520 | 2020-06-03 |
| 1457881484 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10103 Ridgegate Pkwy, Ste 117, Lone Tree, CO 80124 | 2017-06-13 |
| 1437609658 | Surgone, PC | Surgery | 10103 Ridgegate Pkwy, Suite 217, Lone Tree, CO 80124-5520 | 2016-10-12 |
| 1447700661 | Surgone, PC | Colon & Rectal Surgery | 10103 Ridgegate Pkwy, Suite 208, Lone Tree, CO 80124-5520 | 2016-10-12 |
| 1992250583 | Rachel Vaivoda | Nurse Practitioner | 10103 Ridgegate Pkwy, Aspen Building, Suite 221, Lone Tree, CO 80124 | 2016-08-24 |
| 1841644598 | Lone Tree Emergency & Trauma Surgery Specialists | Surgery | 10103 Ridgegate Pkwy, Suite 207, Lone Tree, CO 80124-5520 | 2016-04-19 |
| 1861864993 | Helen Goldie | Registered Nurse | 10103 Ridgegate Pkwy, Aspen Bldg., Suite 350, Lone Tree, CO 80124-5520 | 2015-10-28 |
| 1770962250 | Sharp Podiatric Medicine and Surgery | Specialist/Technologist, Other | 10103 Ridgegate Pkwy, Suite 309, Lone Tree, CO 80124-5520 | 2015-05-29 |
| 1518353374 | Pinnacle Medical Partners LLC | Pediatrics | 10103 Ridgegate Pkwy, Suite 221, Lone Tree, CO 80124-5520 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447700661 | Surgone, PC | Colon & Rectal Surgery | 10103 Ridgegate Pkwy, Suite 208, Lone Tree, CO 80124-5520 | 2016-10-12 |
| 1033265624 | Douglas D Benson | Colon & Rectal Surgery | 10103 Ridgegate Pkwy, Suite 208, Lone Tree, CO 80124-5520 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285795567 | Pikes Peak Center for Colon & Rectal Surgery | Colon & Rectal Surgery | 559 East Pikes Peak Ave, Suite #300, Colorado Springs, CO 80903 | 2006-12-12 |
| 1013468289 | Surgone, PC | Colon & Rectal Surgery | 401 W Hampden Pl, Suite 210, Englewood, CO 80110-2470 | 2016-10-21 |
| 1609326875 | Surgone, PC | Colon & Rectal Surgery | 1601 E 19th Ave, Suite 6300, Denver, CO 80218-1216 | 2016-10-11 |
| 1851848139 | Surgone, PC | Colon & Rectal Surgery | 4600 Hale Pkwy, Suite 430, Denver, CO 80220-4020 | 2016-09-05 |
| 1932655073 | Surgone, PC | Colon & Rectal Surgery | 150 Old Laramie Trl E, Suite 130, Lafayette, CO 80026-7018 | 2016-08-29 |
| 1033665179 | Surgone, PC | Colon & Rectal Surgery | 11960 Lioness Way, Suite 220, Parker, CO 80134-5640 | 2016-08-29 |
| 1740653955 | Acute Colon & Rectal Surgery | Colon & Rectal Surgery | 7780 S Broadway, Suite 250, Littleton, CO 80122-2648 | 2015-11-10 |
| 1255704888 | Gavin Wayne Sigle Md PC | Colon & Rectal Surgery | 7780 S Broadway, Suite 250, Littleton, CO 80122-2648 | 2015-11-04 |
| 1821364480 | Brandon Clifford Chapman | Colon & Rectal Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2012-03-28 |
| 1821310053 | Warren J Strutt | Colon & Rectal Surgery | 1601 E 19th Ave, Suite 6300, Denver, CO 80218-1216 | 2010-02-15 |
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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.