Ethan Wade Blackburn
MD | Orthopedic Surgery | 18+ years Exp
Medicare Enrolled 315 E Broadway Ste 195, Louisville
Kentucky, 40202-3700
502-629-4263 502-629-4282
Maps & DirectionsEthan Wade Blackburn is a Louisville, Kentucky based orthopedic surgeon with 18 years of experience in Orthopedic Surgery. He completed his graduation from University Of Louisville School Of Medicine in 2007. He is also affiliated with hospitals like Norton Hospitals, Inc. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ethan Wade Blackburn is 45826 for Hand Surgery in Kentucky.
Ethan Wade Blackburn is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Ethan Wade Blackburn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Orthopedic Surgery |
| Credentials: | MD |
| Experience: | 18+ years |
| Medical School Attended: | University Of Louisville School Of Medicine |
| Graduation Year: | 2007 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 315 E Broadway Ste 195, Louisville,
Kentucky, 40202-3700 |
| Phone: | 502-629-4263 |
| Fax: | 502-629-4282 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1850557513 |
| Enrollment ID: | I20130827000298 |
| NPI Number: | 1538387360 |
| NPI Enumeration Date: | 24 Apr, 2007 |
| NPI Last Update On: | 12 Jan, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan Wade Blackburn are as mentioned below.
| License Number | Specialization | State | Status | |
| 45826 | Hand Surgery | Kentucky | Primary | |
| 45826 | Orthopedic Surgery | Kentucky | Secondary | |
| 01071401B | Orthopedic Surgery | Indiana | Secondary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Norton Hospitals, Inc (180088) | Louisville, KY | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Ethan Wade Blackburn is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Community Medical Associates Inc (7012811284) | 988 |
| Kentucky Orthopedic Rehabilitation Llc (0345157293) | 136 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ethan Wade Blackburn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7100250140 | Medicaid | Kentucky | |
| 000000833108 | Other | Kentucky | ANTHEM - LAH |
| 149325 | Other | Kentucky | SIHO |
| 50052189 | Other | Kentucky | PASSPORT |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 776351,
Chicago, Illinois |
| Zip: | 60677-6351 |
| Phone Number: | 502-588-9490 |
| Fax Number: | 502-272-5116 |
Patients can reach Ethan Wade Blackburn at
315 E Broadway Ste 195, Louisville, Kentucky or can
call to book an appointment on 502-629-4263.
Comments/ Reviews:
Patients can read all the reviews posted for Ethan Wade Blackburn below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Ethan Wade Blackburn. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.