DR. BENJAMIN HARRIS BLOOM (NPI# 1578676359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578676359 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN HARRIS BLOOM |
| Credential | M.D. |
| Practice Address |
2 Penn Blvd Suite 117 Philadelphia PA 19144-1416 |
| Practice Telephone | 2158490422 |
| Practice Fax Number | 2158491741 |
| Mailing Telephone | 2158490422 |
| Mailing Fax Number | 2158491741 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD-024324-E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000915192-0007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871020347 | Benjamin Ariel Bloom | Emergency Medicine | 1316 W Ontario St Fl 10, Philadelphia, PA 19140-5220 | 2017-05-16 |
| Street Address |
2 PENN BLVD SUITE 117 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568434298 | Pasha Generette | Family Medicine | 2 Penn Blvd, Suite 112, Philadelphia, PA 19144-1416 | 2006-02-06 |
| 1679043699 | Mary Katherine E Connelly | Speech-Language Pathologist | 2 Penn Blvd, Philadelphia, PA 19144-1416 | 2018-12-03 |
| 1528407129 | Andrew J Loh | Obstetrics & Gynecology | 2 Penn Blvd, Philadelphia, PA 19144-1416 | 2013-06-18 |
| 1487933388 | Bridgette Burt | Speech-Language Pathologist | 2 Penn Blvd, Philadelphia, PA 19144-1477 | 2011-08-09 |
| 1699053256 | Gail Mckenna | Speech-Language Pathologist | 2 Penn Blvd, Suite 210, Philadelphia, PA 19144-1416 | 2011-08-01 |
| 1912161407 | Occupational Health Centers of The Southwest,, P.a., P.C. | Clinic/Center | 2 Penn Blvd, Ste 210, Philadelphia, PA 19144-1416 | 2008-07-14 |
| 1962674366 | American Current Care, Pa, Dba Concentra Urgent Care | Clinic/Center | 2 Penn Blvd, #220, Philadelphia, PA 19144-1416 | 2008-03-26 |
| 1558561100 | Lorron Tamika Tokpa | Dentist | 2 Penn Blvd, Suite 216, Philadelphia, PA 19144-1416 | 2007-07-23 |
| 1609098201 | Clarke Pennsylvania, Inc. | Local Education Agency (LEA) | 2 Penn Blvd, Suite 220, Philadelphia, PA 19144-1416 | 2007-05-03 |
| 1174642326 | Concentra Health Services Inc | Clinic/Center | 2 Penn Blvd, Suite 220, Philadelphia, PA 19144-1416 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.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 Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256782 | Maria Manquez Hatta | Ophthalmology | 840 Walnut St Fl 14, Philadelphia, PA 19107-5109 | 2020-08-18 |
| 1821640459 | Stephanie Nicole Kletke | Ophthalmology | 3500 Civic Center Blvd Fl 11, Philadelphia, PA 19104-4395 | 2019-07-13 |
| 1083105654 | Shuai-chun Lin | Ophthalmology | 5401 Old York Rd Ste 205, Philadelphia, PA 19141-3044 | 2018-05-19 |
| 1285188383 | Imran Jivraj | Ophthalmology | 3737 Chestnut St, Apt 809, Philadelphia, PA 19104-7702 | 2016-08-08 |
| 1063851160 | Durga Borkar | Ophthalmology | 840 Walnut St Ste 1020, Philadelphia, PA 19107-5109 | 2013-06-21 |
| 1205275922 | Katherine Elizabeth Uyhazi | Ophthalmology | 3801 Filbert St Ste 515, Philadelphia, PA 19104 | 2013-06-15 |
| 1548605231 | Avni Umesh Badami | Ophthalmology | 51 N 39th St Ste 515, Philadelphia, PA 19104-2640 | 2013-05-08 |
| 1063755361 | Alison Blair Huggins Watson | Ophthalmology | 840 Walnut St Ste 910, Philadelphia, PA 19107-5109 | 2013-04-04 |
| 1447509807 | William Alan Raich | Ophthalmology | 210 Locust St, Apt. 19ab, Philadelphia, PA 19106-3934 | 2012-08-31 |
| 1780955575 | Collazo Ophthalmology & Optometry | Ophthalmology | 4231 N 5th St, Philadelphia, PA 19140-2602 | 2012-01-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
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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.