NICOLE BLOOR, M.D., P.C. (NPI# 1275660680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275660680 |
| Entity Type | Organization |
| Organization Name | NICOLE BLOOR, M.D., P.C. |
| Practice Address |
727 Main St Melrose MA 02176-2707 |
| Practice Telephone | 7816622204 |
| Practice Fax Number | 7816622253 |
| Mailing Telephone | 7816622204 |
| Mailing Fax Number | 7816622253 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-04-21 |
| Authorized Official Name | NICOLE ANNE BLOOR (PRESIDENT) |
| Authorized Official Telephone | 7816622204 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 80960 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | M17510 | 01 |
| MA | 9700480 | 05 |
| Street Address |
727 MAIN ST |
| City | MELROSE |
| State | MA |
| Zip Code | 02176-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396714499 | Lynn Ellen Jumper | Internal Medicine | 727 Main St, Melrose, MA 02176 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384826 | Edrine Astremont | Registered Nurse | 414 Malden, Massachusetts, NY 02176 | 2020-07-23 |
| 1194203919 | Caroline Bregman | Social Worker | 12 Howard St, Melrose, MA 02176 | 2018-08-02 |
| 1386167682 | Carmen Alicia Fernandez | Community/Behavioral Health | 24 Lynde St, Melrose, MA 02176 | 2017-07-19 |
| 1518316116 | Sheila Kelley | Physical Therapist | 15 Green Street, Melrose, MA 02176 | 2016-06-06 |
| 1083049712 | Randi A Brown | Counselor | 610 A Main Street, Melrose, MA 02176 | 2013-09-12 |
| 1306121488 | Frank Anthony Pennacchio | Pharmacist | 17 Coolidge Road, Melrose, MA 02176 | 2011-10-20 |
| 1245401751 | Meaghan Rudolph | Registered Nurse | 11 Stratford Rd, Melrose, MA 02176 | 2008-03-13 |
| 1104039726 | Judy E Bushee | Custodial Care Facility | The Toole Nursing Home, 92 Franklin Street, Melrose, MA 02176 | 2007-05-08 |
| 1811012776 | Mark Joseph Gianatassio | Dentist | 820 Lynn Fells, Melrose, MA 02176 | 2007-03-20 |
| 1154452993 | City of Melrose | Local Education Agency (LEA) | 360 Lynn Fells Parkway, Melrose, MA 02176 | 2007-03-07 |
| Find all providers in zip 02176 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1134500309 | Luke Suvunrungsi | Internal Medicine | 50 Rowe St Ste 500, Melrose, MA 02176-3201 | 2015-06-14 |
| 1023160454 | Melrose Wakefield Cardiac Testing Partnership | Internal Medicine | 585 Lebanon Street (melrose Wakefield Hospital), Melrose, MA 02176-3225 | 2007-01-17 |
| 1780675751 | John David Mudrock | Internal Medicine | 536 Franklin St, Melrose, MA 02176-1741 | 2005-10-31 |
| 1083609408 | Daniel Cox | Internal Medicine | 5818 Centre St, Melrose, FL 32666-6207 | 2005-09-12 |
| 1033650452 | Kashif Samad | Internal Medicine | 585 Lebanon St, Melrose, MA 02176-3225 | 2017-03-17 |
| 1851846513 | En-haw Wang | Internal Medicine | 585 Lebanon St, Melrose, MA 02176-3225 | 2016-08-23 |
| 1003291279 | Fadel Bofarrag | Internal Medicine | 585 Lebanon St, Melrose, MA 02176-3225 | 2015-07-29 |
| 1134502446 | Youqin Zhou | Internal Medicine | 585 Lebanon St, Melrose, MA 02176-3298 | 2015-07-06 |
| 1083096317 | Ankit Patel | Internal Medicine | 585 Lebanon St, Melrose, MA 02176 | 2015-06-23 |
| 1912311408 | Nosheen Jawaid | Internal Medicine | 585 Lebanon St, Melrose, MA 02176-3225 | 2014-06-12 |
| Find all providers in MELROSE | ||||
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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.