MARK T BLOOMSTINE (NPI# 1144285560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144285560 |
| Entity Type | Individual |
| Full Name | MARK T BLOOMSTINE |
| Credential | MD |
| Practice Address |
2315 Myrtle St Ste L10 Erie PA 16502-4611 |
| Practice Telephone | 8144542401 |
| Practice Fax Number | 8144595992 |
| Mailing Telephone | 8144542401 |
| Mailing Fax Number | 8144595992 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD044032L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 000665455 | 01 |
| PA | 0012416530002 | 05 | |
| RAILROAD MEDICARE | 200019047 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 189 E Main St, Westfield, NY 147871104 | 8144542401 | 8144595992 |
| Street Address |
2315 MYRTLE ST STE L10 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194789396 | Mark S Buseck | Orthopaedic Surgery | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2006-04-14 |
| 1376144998 | Mikayla Rae Psenick | Physician Assistant | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2020-11-02 |
| 1699374199 | Lauren Riley Tewes | Physician Assistant | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2020-10-26 |
| 1942766969 | Kang Li | Physician Assistant | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2019-02-14 |
| 1063883247 | Carolyn M Matthews | Physician Assistant | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2015-10-13 |
| 1023445830 | Garrick E Drabina | Physician Assistant | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2013-10-11 |
| 1992948186 | Jay Deimel | Orthopaedic Surgery | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2009-04-17 |
| 1629105085 | Richard C Zmyslinski | Physician Assistant | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2007-02-27 |
| 1194825133 | Stephanie M Galey | Orthopaedic Surgery | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2006-09-22 |
| 1689639015 | David J German | Orthopaedic Surgery | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2006-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
| Find all providers in zip 16502 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon 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. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems 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. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1275782617 | James Edward Mraz | Orthopaedic Surgery | 204 West 26th St, Erie, PA 16508 | 2008-09-10 |
| 1205890407 | Thomas J Fessler | Orthopaedic Surgery | 100 Peach Street, Suite 400, Erie, PA 16507 | 2006-04-14 |
| 1194789396 | Mark S Buseck | Orthopaedic Surgery | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2006-04-14 |
| 1225031149 | David M Babins | Orthopaedic Surgery | 300 State St, Ste 400a, Erie, PA 16507-1427 | 2005-05-24 |
| 1093718926 | Gary J Cortina | Orthopaedic Surgery | 300 State St Fl 4, Erie, PA 16507-1427 | 2005-05-24 |
| 1376546358 | Nick Stefanovski | Orthopaedic Surgery | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2005-05-24 |
| 1811514805 | Michael Driscoll | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1952927949 | Alec David Grossman | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1417573973 | Stepan Shumyak | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-21 |
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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.