BOHEN M BLOM (NPI# 1013020163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013020163 |
| Entity Type | Individual |
| Full Name | BOHEN M BLOM |
| Credential | MD |
| Practice Address |
777 Rural Ave Williamsport PA 17701-3109 |
| Mailing Address |
224 Penn Ave Ste E Pittsburgh PA 15221-2154 |
| Practice Telephone | 5703212321 |
| Mailing Telephone | 4122474500 |
| Mailing Fax Number | 4122474550 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD022864E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK/BLUE SHIELD | 117596 | 01 |
| PA | FIRST PRIORITY/HMO NE PA | 809447 | 01 |
| Street Address |
777 RURAL AVE |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791057 | Susquehanna Cardiology Associates, P. C. | Internal Medicine | 777 Rural Ave, Williamsport, PA 17701-3109 | 2005-09-23 |
| 1679906515 | Michele Lynn Snyder | Nurse Anesthetist, Certified Registered | 777 Rural Ave, Williamsport, PA 17701-3109 | 2013-08-14 |
| 1083908339 | Heidi Ault | Pharmacist | 777 Rural Ave, Williamsport, PA 17701-3109 | 2011-06-03 |
| 1104115526 | Robert B Zaleski | Pharmacist | 777 Rural Ave, Williamsport, PA 17701-3109 | 2011-04-06 |
| 1164734810 | David Alan Bortel | Nurse Anesthetist, Certified Registered | 777 Rural Ave, Williamsport, PA 17701-3109 | 2010-07-10 |
| 1689905606 | Susquehanna Physician Services | Nurse Practitioner | 777 Rural Ave, Williamsport, PA 17701-3109 | 2010-01-15 |
| 1386892669 | Brian James Heintzelman | Pharmacist | 777 Rural Ave, Sl2 East, Williamsport, PA 17701-3109 | 2008-08-29 |
| 1093903791 | Susquehanna Physician Services | Nurse Practitioner | 777 Rural Ave, Williamsport, PA 17701-3145 | 2007-10-09 |
| 1396862900 | Okwudili Francis Chukwuani | Surgery | 777 Rural Ave, Williamsport, PA 17701-3145 | 2007-03-26 |
| 1063597334 | Upmc Williamsport | Clinic/Center | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790186336 | Ryan Allen Collins | Pathology | 700 High St, Williamsport, PA 17701-3100 | 2014-09-15 |
| 1710278197 | Vandi Bryant | Pathology | 700 High St, Williamsport, PA 17701-3100 | 2011-04-20 |
| 1982846861 | Jaclyn Rae Cappel | Pathology | 700 High St, Williamsport, PA 17701-3100 | 2009-03-24 |
| 1629181797 | Donald Joel Leathers | Pathology | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-08-16 |
| 1902919095 | Willem J Lubbe | Pathology | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-08-16 |
| 1851404941 | Sheldon M Schwartz | Pathology | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-08-16 |
| 1992818900 | Williamsport Pathology Assocs. | Pathology | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-08-16 |
| 1609989706 | David J Borys | Pathology | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-08-16 |
| 1619080744 | Michael I Belenko | Pathology | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-08-15 |
| 1083727143 | Nicholas J Dillman | Pathology | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-08-15 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on BOHEN M BLOM.
| 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.