DR. JASON DAVID BLOOM (NPI# 1184780108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184780108 |
| Entity Type | Individual |
| Full Name | DR. JASON DAVID BLOOM |
| Credential | MD |
| Practice Address |
32 Parking Plaza Suite 200 Ardmore PA 19003 |
| Practice Telephone | 6106455551 |
| Practice Fax Number | 6106455151 |
| Mailing Telephone | 6106455551 |
| Mailing Fax Number | 6106455151 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2015-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | MT186824 | PA | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
25MA08884600 | NJ | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
256050 | NY | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
MD432401 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154742419 | Jason Eric Bloom | Chiropractor | 265 Brookview Centre Way, Suite 103, Knoxville, TN 37919-4049 | 2014-01-03 |
| 1851648083 | Jason Scott Bloom | Physical Therapist | 8720 N Kendall Dr, Suite 206, Miami, FL 33176-2299 | 2012-08-07 |
| Street Address |
32 PARKING PLAZA SUITE 200 |
| City | ARDMORE |
| State | PA |
| Zip Code | 19003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720139728 | Howard B Gross | Dentist | 32 Parking Plaza, The Times Building Suite 502, Ardmore, PA 19003 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231973 | Ann's Professional Home Care, LLC. | Home Health | 119 Coulter Ave Ste 210, Ardmore, PA 19003 | 2018-07-06 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1194120832 | Lindsay Coffman | Nurse Practitioner | 610 West Lancaster Avenue, Ardmore, PA 19003 | 2014-10-23 |
| 1306247143 | Samantha Hunsicker | Social Worker | 9 Cricket Terrace Ctr, Ardmore, PA 19003 | 2014-09-11 |
| 1730514050 | Ultimate Hearing Solutions | Audiologist-Hearing Aid Fitter | 14 Greenfield Avenue, Ardmore, PA 19003 | 2013-09-05 |
| 1861831455 | See Inc | Optometrist | 39 Coulter, Ardmore, PA 19003 | 2013-06-18 |
| 1265740518 | Nicole Quigley Finnegan | Occupational Therapist | 120 Saint Pauls Rd, Ardmore, PA 19003 | 2010-09-21 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1790017333 | Dongxiao Liu | Acupuncturist | 2 W. Lancaster Ave, Ardmore, PA 19003 | 2010-02-08 |
| Find all providers in zip 19003 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124531934 | Rachel Hannah Destefano | Otolaryngology | 800 S Logan Blvd Ste 3100, Hollidaysburg, PA 16648-3050 | 2017-11-15 |
| 1558550830 | Valley Forge Facial Plastic Surgery Ent | Otolaryngology | 206 Gay St, Phoenixville, PA 19460-3721 | 2007-10-23 |
| 1366580458 | Albert Joseph Woodring | Otolaryngology | 1849 S 15th St, Philadelphia, PA 19145-2301 | 2007-02-02 |
| 1538230313 | Pinnacle Ent Alliance LLC | Otolaryngology | 994 Old Eagle School Rd, Suite 1017, Wayne, PA 19087-1802 | 2006-11-13 |
| 1376654004 | Daniel Joseph Callaghan Jr. | Otolaryngology | 3126 Wilmington Rd, New Castle, PA 16105-1132 | 2006-08-31 |
| 1982662540 | Elliott Jody Bilofsky | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-05-03 |
| 1568438703 | Tasos Aslanidis | Otolaryngology | 1841 S Broad St, Philadelphia, PA 19148-2115 | 2006-02-27 |
| 1578533212 | Larry A Feiner | Otolaryngology | 2023 E High St, Pottstown, PA 19464-3211 | 2006-01-25 |
| 1700863743 | Raphael Gabay | Otolaryngology | 9500 Roosevelt Blvd, Philadelphia, PA 19115 | 2005-12-30 |
| 1144218793 | Alfred J. Mauriello II | Otolaryngology | 15 Industrial Blvd, Ste 102, Paoli, PA 19301-1608 | 2005-10-07 |
| 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.