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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN WADE BLACKBURN, MD

Active

ETHAN WADE BLACKBURN, MD is a Orthopaedic Surgery of the Spine healthcare provider located in LOUISVILLE, Kentucky. NPI 1538387360 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery of the Spine · LOUISVILLE, KY

Registration Details

NPI Number
1538387360
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2007 (19.339555252773 yrs)
Last Updated
Jan 12, 2021
Licenses
45826 (KY)
01071401B (IN)
45826 (KY)

Practice Information

Address
315 E BROADWAY STE 195
LOUISVILLE, KY, 402023700
Browse KY providers · Browse ZIP 40202
Phone
5026294263
Fax
5026294282
Primary Specialty
Orthopaedic Surgery of the Spine
207XS0106X
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery of the Spine Providers in LOUISVILLE, KY

Name Credential NPI
DR. THOMAS MATTHEW GABRIEL M.D. 1023011442
MICHELLE DEANNE PALAZZO M.D. 1922008747
TUNA OZYUREKOGLU M.D. 1659365930
THOMAS WILLIAM WOLFF M.D. 1548254832
TSU MIN TSAI M.D. 1134113418
RODRIGO MORENO GARCIA M.D. 1285628537
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.