DR. JEFFREY BLUMBERG (NPI# 1265759526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265759526 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY BLUMBERG |
| Credential | M.D. |
| Practice Address |
101 Manning Dr North Carolina Neurosciences Hospital Chapel Hill NC 27514 |
| Mailing Address |
170 Manning Dr., Cb 7070 Physicians Office Building, Dept of Oto-hnc, Unc-ch Chapel Hill NC 27599-7070 |
| Practice Telephone | 9849746484 |
| Mailing Telephone | 9199668927 |
| Mailing Fax Number | 9199667941 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2018-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 2017-00066 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1265759526 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 065103220 | 2036882259 | 2036885599 |
| 143 W Franklin St, Chapel Hill, NC 27516 | 9199668596 | 9198435515 |
| Street Address |
101 MANNING DR NORTH CAROLINA NEUROSCIENCES HOSPITAL |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243466 | Kimberly Anne Kasow Wichlan | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2005-05-23 |
| 1316547888 | Brittany Edmonson | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-26 |
| 1689273138 | Matthew Eaton Cornwell | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4226 | 2020-10-25 |
| 1952900771 | Christina Rose Villanova | Dietitian, Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-22 |
| 1861091134 | Yulia Nemtsev | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-19 |
| 1811595556 | Alison Baron-johnson | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-14 |
| 1780282947 | Matthew Fram | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-10 |
| 1508471806 | Emily Hartman | Nurse Anesthetist, Certified Registered | 101 Manning Dr, Chapel Hill, NC 27514-4226 | 2020-09-13 |
| 1013522424 | Hannah Chicowlas Morgan | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-09-11 |
| 1508479270 | Dhruthi Patel | Nurse Anesthetist, Certified Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790900 | Ellen Cowherd | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care, 1512 East Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-28 |
| 1033739586 | Elizabeth Marie O'neil | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic, 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-24 |
| 1235759986 | Stephanie Crawford Gehle | Student in an Organized Health Care Education/Training Program | 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1710507462 | Mustafa Al-hassan Abid | Student in an Organized Health Care Education/Training Program | Unc Hospitals -- Office of Graduate Medical Education, 101 Manning Drive, Cb#7600, Chapel Hill, Nc, 27514, Chapel Hill, NC 27514 | 2020-04-23 |
| 1114547775 | Xavier Joseph Williams | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic 1512 E. Franklin St., Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1043871312 | Katelyn R Sclafani | Social Worker | 250 S Estes Dr Apt 70, Chapel Hill, NC 27514 | 2019-06-26 |
| 1730746504 | Jacob Hall | Student in an Organized Health Care Education/Training Program | Suite 295, Radonc Admin, Nc Cancer Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-05-28 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1922568773 | Christina Mcswain Burke | Social Worker | Unc Center for Women's Mood Disorders, 77 Vilcom Center Dr.; Dawson Hall; Suite 300, Chapel, NC 27514 | 2019-03-20 |
| 1881160158 | Ryan Hall | Pharmacist | 2110 Estes Drive, Chapel Hill, NC 27514 | 2018-10-15 |
| Find all providers in zip 27514 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457794893 | Candace Mitchell Waters | Otolaryngology | 170 Manning Drive Campus Box #7070, Chapel Hill, NC 27599-4216 | 2013-04-16 |
| 1992047633 | Catherine Lumley | Otolaryngology | 170 Manning Dr Physicians Office Building G114, Chapel Hill, NC 27599 | 2013-03-20 |
| 1396011730 | Christine Elizabeth Demason | Otolaryngology | 101 Manning Dr Ground Floor Neuroscience, Chapel Hill, NC 27599-2113 | 2012-03-30 |
| 1407149875 | Benjamin P Wei | Otolaryngology | 170 Manning Drive Physiciuan Building Block G144, Chapel Hill, NC 27599-7070 | 2011-05-18 |
| 1861422263 | Roy Mcjilton | Otolaryngology | 4200 Old Greensboro Rd, Chapel Hill, NC 27516-5876 | 2006-07-03 |
| 1407843261 | Jessica Kehren Smyth | Otolaryngology | 101 Manning Drive, Cb 7070, G0412 Neurosciences Hospital, Chapel Hill, NC 27599-7070 | 2005-10-05 |
| 1942861760 | April Peterson | Otolaryngology | 321 S Columbia St, Chapel Hill, NC 27514-4309 | 2019-06-24 |
| 1467934109 | Abdulaziz Alrasheed | Otolaryngology | 170 Manning Dr, Chapel Hill, NC 27514-4221 | 2018-08-29 |
| 1457707234 | Mohammed Mamdani | Otolaryngology | 170 Manning Dr, Chapel Hill, NC 27514-4221 | 2016-05-10 |
| 1083060180 | Zainab Farzal | Otolaryngology | 170 Manning Dr, Chapel Hill, NC 27514-4221 | 2016-05-06 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27514 |
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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.