Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 2010020915 | MO |
Y | 2086S0120X | Pediatric Surgery | DR.0057028 | CO |
N | 2086S0120X | Pediatric Surgery | K1369 | TX |
NPI | 1649251836 |
---|---|
Provider Name | Dr. David Paul Bliss JR. |
First Address | Aurora, CO 80042-0429 |
Second Address | Colorado Springs, CO 80920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 17/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0134405 | UNITED HEALTH CARE (01) | TX |
10028087 | AMERIGROUP (01) | TX |
102614802 | (05) | TX |
102614804 | (05) | TX |
102614805 | CSHCN (01) | TX |
114083 | SUPERIOR CHIP (01) | TX |
153410005 | PACIFIARE (01) | TX |
282728 | PHCS (01) | TX |
389963 | ONE HEALTH PLAN (01) | TX |
41621 | AETNA MEDICAID (01) | TX |
4620671 | AETNA (01) | TX |
8155830002 | CIGNA (01) | TX |
820908 | BLUE CROSS (01) | TX |
8F23625 | (02) | TX |