LARRY WEBSTER BLUM


Address: 203 Hospital Dr Ste 200, Glen Burnie, MD 21061-6905
Phone: 4105538160

LARRY WEBSTER BLUM (NPI# 1053300962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053300962
Entity Type Individual
Full Name LARRY WEBSTER BLUM
Credential M.D.
Practice Address 203 Hospital Dr Ste 200
Glen Burnie
MD 21061-6905
Mailing Address Po Box 64584
Baltimore
MD 21264-4584
Practice Telephone 4105538160
Practice Fax Number 4105538159
Enumeration Date 2005-10-14
Last Update Date 2020-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
D37246 MD Allopathic & Osteopathic Physicians
N 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
D37246 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 548571100 05
MD GROUP MEDICARE BWMC SURGICAL ASSOCIATES 165767 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
301 Hospital Dr, Suite 803, Glen Burnie, MD 210615803 4105538160 4105538159

Office Location

Street Address 203 HOSPITAL DR STE 200
City GLEN BURNIE
State MD
Zip Code 21061-6905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396253555 Johns Hopkins Regional Physicians LLC Allergy & Immunology 203 Hospital Dr Ste 200, Glen Burnie, MD 21061-6905 2018-01-22
1568704971 Christopher Andrew Stack Psychiatry & Neurology 203 Hospital Dr Ste 200, Glen Burnie, MD 21061-6905 2013-03-24
1114231545 Madhu Sreekanth Jasti Psychiatry & Neurology 203 Hospital Dr Ste 200, Glen Burnie, MD 21061-6905 2010-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255814422 Lotus Behavioral Health and Rehabilitation Services Inc. Behavior Technician 6426 Harrison Square, Glen Burnie, MD 21061 2018-09-12
1942795315 Tina Brown Behavior Technician Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 2018-06-27
1205351905 Digna Emerita Sanchez De Vasquez Specialist/Technologist, Other 201 Fernglen Ave, Glen Burnie, MD 21061 2017-08-03
1255780300 Rachel Cutts Physical Therapist 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 2016-06-09
1295181170 Gaudenzia, Inc. Counselor 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 2016-05-10
1023499548 Mary Bourbon Nurse Practitioner 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 2015-06-10
1972997724 Robert Oladeinde Physician Assistant 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 2015-03-18
1205248069 Cathy Qing He Anesthesiology 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 2014-05-28
1477974764 Shannon Holder Nurse Practitioner 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 2014-01-03
1629404207 Marla Ann Muha Physician Assistant 301 Hospital Dr # 803, Glen Burnie, MD 21061 2013-09-16
Find all providers in zip 21061

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316966179 Sangjin Oh Psychiatry & Neurology 1412 Crain Hwy N Ste 6a, Glen Burnie, MD 21061 2006-07-19
1730745159 Sangjin Oh Md Pa Psychiatry & Neurology 1412 Crain Hwy N Ste 6a, Glen Burnie, MD 21061-7000 2019-05-10
1083077499 Spine & Sports Physical Therapy & Diagnostics, LLC Psychiatry & Neurology 1406b Crain Hwy S, Suite 107, Glen Burnie, MD 21061-4099 2016-04-02
1568704971 Christopher Andrew Stack Psychiatry & Neurology 203 Hospital Dr Ste 200, Glen Burnie, MD 21061-6905 2013-03-24
1497064968 Neuro Diagnostic Center Pa Psychiatry & Neurology 325 Hospital Dr Ste 104, Glen Burnie, MD 21061-5806 2010-10-01
1114231545 Madhu Sreekanth Jasti Psychiatry & Neurology 203 Hospital Dr Ste 200, Glen Burnie, MD 21061-6905 2010-07-27
1184881245 Talat Qadeer Alvi Psychiatry & Neurology 325 Hospital Dr, Suite 106 Dughly and Associates, Glen Burnie, MD 21061-5860 2008-05-16
1427123124 Muhammad Eyad Dughly Psychiatry & Neurology 325 Hospital Drive, Suite 106 Dughly & Associates Pa, Glen Burnie, MD 21061 2006-11-21
1851352942 Samuel B Miller Psychiatry & Neurology 7310 Ritchie Hwy, Suite 710, Glen Burnie, MD 21061 2006-03-29
1316907892 Harshad R Mody Psychiatry & Neurology 7310 Ritchie Hwy, Suite 710, Glen Burnie, MD 21061-3065 2006-03-27
Find all providers in GLEN BURNIE

Competitor

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City GLEN BURNIE
Zip Code 21061

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Dataset Information

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.

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