DR. SUSAN L BLAKLEY (NPI# 1316932387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316932387 |
| Entity Type | Individual |
| Full Name | DR. SUSAN L BLAKLEY |
| Credential | M.D. |
| Practice Address |
200 Exempla Cir Lafayette CO 80026-3370 |
| Mailing Address |
2500 S Havana St Aurora CO 80014-1618 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 36871 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01368711 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 017468 | 01 |
| Street Address |
200 EXEMPLA CIR |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391480 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-09-18 |
| 1659985737 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-09-04 |
| 1669096848 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-06-03 |
| 1104451699 | Emergency Service Physicians, Inc. | Emergency Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-03-05 |
| 1720569569 | Dastgeer Surgical Associates | Specialist/Technologist, Other | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2018-08-28 |
| 1639607021 | Sagarika Sinha | Hospitalist | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2017-05-30 |
| 1619321148 | Stephanie Veronica Eldred | Family Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2016-04-21 |
| 1861877169 | Ashley Lane | Physician Assistant | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2015-07-28 |
| 1184013500 | Michele Rundall-aemmer | Registered Nurse | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2015-01-22 |
| 1487063889 | Jenna Allais | Pharmacist | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2014-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144501 | Sw Louisiana Internal Medicine LLC | Internal Medicine | 105 Patriot St Ste 202, Lafayette, LA 70508-6831 | 2020-11-04 |
| 1205340676 | Robert Caspari | Internal Medicine | 2465 Cana Ct, Lafayette, CO 80026-9345 | 2017-11-21 |
| 1285151282 | Internal Medicine Clinic of Acadiana, LLC | Internal Medicine | 100 Waterford Dr, Lafayette, LA 70503-5401 | 2017-08-29 |
| 1669823142 | Lafayette Weight Loss Clinic, LLC | Internal Medicine | 5439 Johnston St, Lafayette, LA 70503-5135 | 2016-06-27 |
| 1689024911 | Himani Reddy Manthena | Internal Medicine | 401 Youngsville Hwy Ste 200b, Lafayette, LA 70508-5173 | 2016-06-17 |
| 1295196194 | Emily Charlie | Internal Medicine | 155 Hospital Dr Ste 205, Lafayette, LA 70503-2852 | 2016-03-19 |
| 1285095372 | Chad N Heinen Md Hospitalist Corporation | Internal Medicine | 310 Highway 89, Lafayette, LA 70508-4524 | 2016-03-16 |
| 1316308190 | Linda Lipstate | Internal Medicine | 408 Roswell Xing, Lafayette, LA 70508-6778 | 2016-03-08 |
| 1821484833 | Shantell Ceaser | Internal Medicine | 2390 West Congress Street., Lafayette, LA 70506 | 2015-04-07 |
| 1932511821 | Rory Bennett | Internal Medicine | 515 Saint Julien Ave, Lafayette, LA 70506-4735 | 2014-05-27 |
| Find all providers in LAFAYETTE | ||||
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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.