DR. LAWRENCE BLUMEN (NPI# 1104881952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104881952 |
Entity Type | Individual |
Full Name | DR. LAWRENCE BLUMEN |
Credential | MD |
Practice Address |
115 S Candy Ln Cottonwood AZ 86326-4188 |
Mailing Address |
Po Box 329 Humboldt AZ 86329-0329 |
Practice Telephone | 9286393300 |
Mailing Telephone | 9286321507 |
Enumeration Date | 2006-04-17 |
Last Update Date | 2007-07-26 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | AZ | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 635013 | 05 |
Street Address |
115 S CANDY LN |
City | COTTONWOOD |
State | AZ |
Zip Code | 86326-4188 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619121423 | Laboratory Corporation of America | Clinical Medical Laboratory | 115 S Candy Ln, Ste B2, Cottonwood, AZ 86326-4105 | 2008-11-06 |
1790848133 | Verde Valley Sedona Advanced Imaging Diagnostics LLC | Clinic/Center | 115 S Candy Ln, Bldg. A, Cottonwood, AZ 86326-4105 | 2006-12-18 |
1659460814 | Grace E Jackson | Psychiatry & Neurology | 115 S Candy Ln, Suite C2, Cottonwood, AZ 86326-4105 | 2006-10-12 |
1215021431 | C. Dexter Hayes, Md, PC | Family Medicine | 115 S Candy Ln, Suite B2, Cottonwood, AZ 86326-4105 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
Find all providers in zip 86326 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437344686 | Dennis J. Reed, Md PC | Specialist | 1759 E Villa Dr Ste 313, Cottonwood, AZ 86326-5997 | 2007-09-11 |
1275626939 | Ian R Livingstone | Specialist | 269 S Candy Ln Ste 107, Cottonwood, AZ 86326-4158 | 2006-10-02 |
1932134186 | Cardiac Care, P.C. | Specialist | 450 S Willard St Ste 115, Cottonwood, AZ 86326-6744 | 2006-07-12 |
1730135567 | Jon Ross Cook | Specialist | 657 E Cottonwood St, Suite 10b, Cottonwood, AZ 86326-4407 | 2006-05-25 |
1205890134 | Resource Physical Therapy | Specialist | 825 W Mingus Ave, Cottonwood, AZ 86326-4088 | 2006-04-17 |
1972598613 | Charles Joseph Rolle | Specialist | 294 W Hwy 89a, Suite 203, Cottonwood, AZ 86326-3754 | 2005-09-19 |
1154326023 | Precision Physical Therapy, LLC | Specialist | 856 Cove Pkwy, Ste A-b, Cottonwood, AZ 86326-5449 | 2005-06-16 |
1033394762 | Verde Valley Medical Center | Specialist | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2007-12-31 |
1427265628 | R. Scott Kinkade Md PC | Specialist | 294 W Highway 89a, Suite 211, Cottonwood, AZ 86326-3754 | 2007-05-17 |
1861550873 | Senska Physical Therapy, Inc | Specialist | 657 E Cottonwood St, Suite 10, Cottonwood, AZ 86326-4407 | 2006-12-04 |
Find all providers in COTTONWOOD |
City | COTTONWOOD |
Zip Code | 86326 |
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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.