CHRISTOPHER PATRICK BLOMBERG (NPI# 1164733978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164733978 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER PATRICK BLOMBERG |
| Credential | D.O. |
| Practice Address |
9 Healthcare Dr Ste 105 Biddeford ME 04005 |
| Mailing Address |
1 Medical Center Dr Biddeford ME 04005-9422 |
| Practice Telephone | 2072823666 |
| Mailing Telephone | 2072823666 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 254944 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
DO2735 | ME | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25a June St Ste 11, Sanford, ME 040732642 | 2072823666 | |
| 736 Cambridge St, Boston, MA 021352907 | 6177893000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982023149 | Christopher Shane Blomberg | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2014-04-15 |
| Street Address |
9 HEALTHCARE DR STE 105 |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609369529 | Matthew Christopher Lomax | Nurse Practitioner | 9 Healthcare Dr Ste 105, Biddeford, ME 04005-9445 | 2018-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| 1326276924 | Dental Specialists of Yarmouth, LLC | Dentist | 413 Alred Street, Unit B1a, Park 111, Biddeford, ME 04005 | 2009-06-23 |
| Find all providers in zip 04005 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811169543 | Shabbir Reza | Internal Medicine | 9 Healthcare Drive, Suite 105, Biddeford, ME 04005 | 2008-04-02 |
| 1225094592 | Howard B Sherman | Internal Medicine | 9 Healthcare Drive, Suite 105, Biddeford, ME 04005-9404 | 2006-04-25 |
| 1861456188 | Paul Meadows | Internal Medicine | 9 Healthcare Drive, Suite 105, Biddeford, ME 04005-9404 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508136953 | George Jerome Didonna | Internal Medicine | 59 Blueberry Cv, Yarmouth, ME 04096-6527 | 2012-01-03 |
| 1386885705 | Lawrence D. Baker | Internal Medicine | 106 Campus Ave., Lewiston, ME 04240-6019 | 2009-03-14 |
| 1467646125 | Edward A Greco Jr Md | Internal Medicine | 693 Congress Street, Portland, ME 04102 | 2007-09-05 |
| 1720271380 | Ronald S Rosenfeld | Internal Medicine | 281 Birch Point Rd, Perry, ME 04667-3425 | 2007-08-27 |
| 1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
| 1891700621 | Zelmira Curillova-chavko | Internal Medicine | One Northeast Drive, Emmc- Northeast Cardiology Associates, Bangor, ME 04401 | 2006-07-30 |
| 1760406516 | Peter Mccarren | Internal Medicine | 45 Allyn St, Belfast, ME 04915-6719 | 2006-07-26 |
| 1730103516 | James R Lambert | Internal Medicine | 171 Academy St, Presque Isle, ME 04769-3103 | 2006-07-26 |
| 1063445880 | Edward Greco | Internal Medicine | 693 Congress St, Portland, ME 04102-3303 | 2006-07-07 |
| 1306881198 | Lawrence J Petrovich | Internal Medicine | 12 Hospital Dr, Suite 9, York, ME 03909-1030 | 2006-06-17 |
| Find all providers with the same taxonomy | ||||
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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.