DR. JASON MICHAEL BLOOMBERG (NPI# 1588772115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588772115 |
| Entity Type | Individual |
| Full Name | DR. JASON MICHAEL BLOOMBERG |
| Credential | M.D. |
| Practice Address |
3100 Henderson Dr Suite 9 Cheyenne WY 82001-5846 |
| Mailing Address |
Po Box 21004 Cheyenne WY 82003-7020 |
| Practice Telephone | 3074264673 |
| Practice Fax Number | 3074264674 |
| Mailing Telephone | 3074264673 |
| Mailing Fax Number | 3074264674 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 11910 | NV | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 22927 | NE | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 6713A | WY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11910 | NV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 22927 | NE | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 6713A | WY | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
11910 | NV | Allopathic & Osteopathic Physicians |
| N | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
6713A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1005509998 | 05 | |
| WY | 119416000 | 05 | |
| NV | 100509999 | 05 |
| Street Address |
3100 HENDERSON DR SUITE 9 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114246824 | Barbara Ann Allman | Counselor | 3100 Henderson Dr, Suite E, Cheyenne, WY 82001-5846 | 2010-05-19 |
| 1336315779 | Access Health Care - LLC | Clinic/Center | 3100 Henderson Dr, Suite 9, Cheyenne, WY 82001-5846 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781875 | Relymd Medical Group, LLC | Family Medicine | 1920 Thomes Ave Ste 610, Cheyenne, WY 82001-3548 | 2020-08-19 |
| 1164906467 | American Medical Associates, Inc | Family Medicine | 109 E 17th St Ste 25, Cheyenne, WY 82001-4548 | 2018-09-21 |
| 1578057196 | Chere A Bohr | Family Medicine | 2508 E Fox Farm Rd Ste 512, Cheyenne, WY 82007-2559 | 2018-06-18 |
| 1124347109 | Chief Stats Inc | Family Medicine | 2232 Dell Range Blvd, Cheyenne, WY 82009-4941 | 2010-05-29 |
| 1508095332 | Cara Lee Johnson | Family Medicine | 300 East 20th Street, Suite 300, Cheyenne, WY 82001-3882 | 2009-07-14 |
| 1760583942 | Roger Mills County Hospital Authority | Family Medicine | 501 S Ll Males, Cheyenne, OK 73628 | 2006-09-26 |
| 1659485811 | Phillip James Schiel | Family Medicine | 5416 Education Dr, Cheyenne, WY 82009-4094 | 2006-08-17 |
| 1942219803 | Jonathon Dominique Medina | Family Medicine | 1950 Bluegrass Cir Ste 200, Cheyenne, WY 82009-7364 | 2006-08-07 |
| 1184639759 | Babson & Associates Primary Care, PC | Family Medicine | 1331 Prairie Ave Ste 1, Cheyenne, WY 82009-4867 | 2006-07-30 |
| 1184645632 | Joseph Collins Dobson | Family Medicine | 2700 E 12th St, Cheyenne, WY 82001-5604 | 2006-07-21 |
| Find all providers in CHEYENNE | ||||
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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.