Ethan Wade Blackburn is a Louisville, Kentucky based male orthopedic surgeon with 17 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:
17+ 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.
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar General Orthopedic Doctors in Louisville, KY