DR. STEPHEN MICHAEL BLUMBERG (NPI# 1396709440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396709440 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MICHAEL BLUMBERG |
| Credential | M.D. |
| Practice Address |
1113 S State St Suite 100 Dover DE 19901-4112 |
| Practice Telephone | 3027347676 |
| Practice Fax Number | 3027347615 |
| Mailing Telephone | 3027347676 |
| Mailing Fax Number | 3027347615 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2015-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
175193-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518061761 | Stephen R Blumberg | Psychologist | 915 Middle River Dr, Suite 307, Fort Lauderdale, FL 33304-3544 | 2006-09-09 |
| 1811908940 | Stephen M Blumberg | Emergency Medicine | 1400 Pelham Pkwy S, Building 6, Rom 1b25, Bronx, NY 10461-1138 | 2006-08-11 |
| Street Address |
1113 S STATE ST SUITE 100 |
| City | DOVER |
| State | DE |
| Zip Code | 19901-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417927732 | Gurmeet Singh | Internal Medicine | 1113 S State St, Suite 100, Dover, DE 19901-4112 | 2006-01-26 |
| 1831745447 | Shannon Nicole Cullin | Registered Nurse | 1113 S State St, Dover, DE 19901-4112 | 2019-08-11 |
| 1114410602 | Sierra Rose Palochak | Physician Assistant | 1113 S State St, Dover, DE 19901-4112 | 2018-06-11 |
| 1053868224 | Amber Marie Garbe | Advanced Practice Midwife | 1113 S State St, Dover, DE 19901-4112 | 2016-09-06 |
| 1245514140 | Nancy Lynn Baron Welch | Nurse Practitioner | 1113 S State St, Dover, DE 19901-4112 | 2011-10-11 |
| 1184855520 | Dover Family and Cosmentic Dentistry | Clinic/Center | 1113 S State St, Suite 201, Dover, DE 19901-4112 | 2009-08-03 |
| 1659530178 | Michael Leigh Shea | Internal Medicine | 1113 S State St, Suite 100, Dover, DE 19901-4112 | 2008-06-09 |
| 1700043387 | Elizabeth Ann Outten | Emergency Medicine | 1113 S State St, Dover, DE 19901-4112 | 2008-05-21 |
| 1457406407 | Junior Anderson Dover | Dentist | 1113 S State St, Suite 201, Dover, DE 19901-4112 | 2007-01-23 |
| 1174565816 | Nasreen Khan | Obstetrics & Gynecology | 1113 S State St, Dover, DE 19901-4112 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1780868950 | Laura M Gravelin | Internal Medicine | 200 Banning St, Dover, DE 19904-3485 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063938439 | Bayhealth Medical Center, Inc | Internal Medicine | 100 Wellness Way, Milford, DE 19963-4364 | 2017-08-17 |
| 1417111063 | Mussaber Mushtaq Ahmad | Internal Medicine | 802 N Dupont Blvd, Milford, DE 19963-1006 | 2008-07-14 |
| 1295932861 | Delaware Electrophysiology and Cardiology Pa | Internal Medicine | 2600 Glasgow Ave, Suite 104, Newark, DE 19702-4773 | 2007-06-28 |
| 1932102647 | Joseph C Pennington IIi | Internal Medicine | 2600 Glasgow Ave, Ste 104, Newark, DE 19702-4773 | 2005-05-27 |
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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.